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 $13.49 Median $13.49 Typical High $16.60 | Professional | None | $13.49 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $8.32 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.31 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.45 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.35 | $1.35 | $1.66 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $60.26 | Facility | None | $38.02 | $51.29 | $60.26 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $50,118.72 Median $50,118.72 Typical High $50,118.72 | Professional | None | $50,118.72 | $50,118.72 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $17.38 | Professional | None | $12.59 | $16.60 | $17.38 |
Where Rhode Island sits
The same service costs 3.5 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· 43rd of 51
$13.49
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.