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 $4.90 Median $6.17 Typical High $6.17 | Professional | None | $4.90 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $2.45 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $0.98 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.63 Median $4.68 Typical High $4.68 | Professional | 54 · Surgery only | $3.63 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.72 Median $0.93 Typical High $0.93 | Professional | 55 · Aftercare only | $0.72 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.49 | $0.62 | $0.62 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $10.47 Median $14.45 Typical High $16.98 | Facility | None | $10.47 | $14.45 | $16.98 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $6.92 | Professional | None | $4.90 | $4.90 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.63 Typical High $5.75 | Professional | None | $2.75 | $3.63 | $5.75 |
Where Rhode Island sits
The same service costs 2.7 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· 12th of 51
$6.17
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.