How much rates vary
Facilitymedian $93 · 10th to 90th $69 to $110Professionalmedian $48 · 10th to 90th $19 to $60
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 $31.62 Median $60.26 Typical High $60.26 | Professional | None | $31.62 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $15.85 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $6.31 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $45.71 Typical High $45.71 | Professional | 54 · Surgery only | $23.99 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $4.79 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.16 | $6.03 | $6.03 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $109.65 | Facility | None | $69.18 | $93.33 | $109.65 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $45.71 | Professional | None | $31.62 | $31.62 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $38.02 | Professional | None | $17.78 | $23.44 | $38.02 |
Where Rhode Island sits
The same service costs 3.2 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
$60.26
RI $60.26NY $19.05
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.