How much rates vary
Facilitymedian $50 · 10th to 90th $36 to $58Professionalmedian $19 · 10th to 90th $10 to $19
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 $16.98 Median $19.50 Typical High $19.50 | Professional | None | $16.98 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.51 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.39 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | 54 · Surgery only | $12.59 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.51 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.70 | $1.95 | $1.95 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $36.31 Median $50.12 Typical High $57.54 | Facility | None | $36.31 | $50.12 | $57.54 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | None | $16.98 | $16.98 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $19.95 | Professional | None | $9.55 | $12.59 | $19.95 |
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
$19.50
HI $27.54NY $10.00
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.