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 $34.67 Median $72.44 Typical High $72.44 | Professional | None | $34.67 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $17.38 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $6.92 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $54.95 Typical High $54.95 | Professional | 54 · Surgery only | $26.30 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $5.25 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.47 | $7.24 | $7.24 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $120.23 | Facility | None | $75.86 | $102.33 | $120.23 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $28.84 | Professional | None | $19.95 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $40.74 | Professional | None | $19.50 | $25.70 | $40.74 |
Where Rhode Island sits
The same service costs 2.6 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· 41st of 51
$28.84
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.