How much rates vary
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 $50.12 Median $64.57 Typical High $64.57 | Professional | None | $50.12 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $10.00 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $48.98 Typical High $48.98 | Professional | 54 · Surgery only | $37.15 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $7.41 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.01 | $6.46 | $6.46 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $169.82 | Facility | None | $107.15 | $147.91 | $169.82 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $58.88 | Professional | None | $28.18 | $37.15 | $58.88 |
Where Rhode Island sits
The same service costs 2.8 times more in Hawaii 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· 12th of 51
$64.57
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.