How much rates vary
Facilitymedian $85 · 10th to 90th $62 to $100Professionalmedian $42 · 10th to 90th $18 to $42
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 $26.30 Median $41.69 Typical High $41.69 | Professional | None | $26.30 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $31.62 Typical High $31.62 | Professional | 54 · Surgery only | $21.38 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $4.37 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.88 | $4.17 | $4.17 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $100.00 | Facility | None | $61.66 | $85.11 | $100.00 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | None | $28.84 | $28.84 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $33.88 | Professional | None | $16.22 | $21.38 | $33.88 |
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· 8th of 51
$41.69
HI $46.77NY $16.98
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.