How much rates vary
Facilitymedian $47 · 10th to 90th $35 to $55Professionalmedian $24 · 10th to 90th $10 to $30
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 $15.85 Median $30.20 Typical High $30.20 | Professional | None | $15.85 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $7.94 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $3.16 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.02 Median $22.91 Typical High $22.91 | Professional | 54 · Surgery only | $12.02 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $2.40 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $1.58 | $3.02 | $3.02 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $54.95 | Facility | None | $34.67 | $46.77 | $54.95 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.91 | Professional | None | $15.85 | $15.85 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $18.62 | Professional | None | $8.91 | $11.75 | $18.62 |
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
$30.20
RI $30.20NY $9.55
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.