How much rates vary
Facilitymedian $72 · 10th to 90th $52 to $83Professionalmedian $30 · 10th to 90th $15 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 $24.55 Median $30.20 Typical High $30.20 | Professional | None | $24.55 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $12.30 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.90 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 54 · Surgery only | $18.20 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $3.63 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.45 | $3.02 | $3.02 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $83.18 | Facility | None | $52.48 | $72.44 | $83.18 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | None | $24.55 | $24.55 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $28.84 | Professional | None | $13.80 | $18.20 | $28.84 |
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· 14th of 51
$30.20
HI $39.81NY $14.45
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.