How much rates vary
Facilitymedian $68 · 10th to 90th $49 to $78Professionalmedian $26 · 10th to 90th $14 to $26
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 $22.91 Median $25.70 Typical High $25.70 | Professional | None | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $11.48 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $4.57 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | 54 · Surgery only | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | 55 · Aftercare only | $3.39 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.29 | $2.57 | $2.57 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $77.62 | Facility | None | $48.98 | $67.61 | $77.62 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | None | $22.91 | $22.91 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $26.92 | Professional | None | $12.88 | $16.98 | $26.92 |
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· 19th of 51
$25.70
HI $37.15NY $13.49
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.