How much rates vary
Facilitymedian $35 · 10th to 90th $26 to $42Professionalmedian $15 · 10th to 90th $8 to $15
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 $10.96 Median $15.14 Typical High $15.14 | Professional | None | $10.96 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $6.03 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.45 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $11.22 Typical High $11.22 | Professional | 54 · Surgery only | $9.12 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.24 Typical High $2.24 | Professional | 55 · Aftercare only | $1.82 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.23 | $1.51 | $1.51 |
BCBS Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $41.69 | Facility | None | $26.30 | $35.48 | $41.69 |
BCBS Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $17.38 | Professional | None | $12.30 | $12.30 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $14.45 | Professional | None | $6.92 | $8.91 | $14.45 |
Where Rhode Island sits
The same service costs 2.7 times more in Idaho 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· 15th of 51
$15.14
ID $19.50NY $7.24
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.