How much rates vary
Facilitymedian $8 · 10th to 90th $6 to $10Professionalmedian $4 · 10th to 90th $2 to $7
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $2.88 Median $6.76 Typical High $6.76 | Professional | None | $2.88 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $1.45 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $0.56 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.14 Median $5.01 Typical High $5.01 | Professional | 54 · Surgery only | $2.14 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $0.43 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.28 | $0.68 | $0.68 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $6.17 Median $8.32 Typical High $9.77 | Facility | None | $6.17 | $8.32 | $9.77 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $4.07 | Professional | None | $2.88 | $2.88 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.09 Typical High $3.39 | Professional | None | $1.62 | $2.09 | $3.39 |
Where Rhode Island sits
The same service costs 4.0 times more in Rhode Island than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Rhode Island· 1st of 51
$6.76
RI $6.76NY $1.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.