How much rates vary
Facilitymedian $83 · 10th to 90th $62 to $98Professionalmedian $27 · 10th to 90th $17 to $28
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 $25.70 Median $26.92 Typical High $26.92 | Professional | None | $25.70 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 54 · Surgery only | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.69 | $2.69 | $2.69 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $97.72 | Facility | None | $61.66 | $83.18 | $97.72 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | None | $28.18 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $33.11 | Professional | None | $15.85 | $20.89 | $33.11 |
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· 27th of 51
$26.92
HI $45.71NY $16.60
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.