How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,513.56 | $1,548.82 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $181.97 | $181.97 | $204.17 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $173.78 Median $489.78 Typical High $562.34 | Facility | None | $173.78 | $489.78 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $194.98 | $257.04 | $380.19 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $91.20 | $134.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $794.33 | Facility | None | $147.91 | $199.53 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $295.12 | $446.68 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $100.00 | $141.25 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $3,890.45 | Facility | None | $97.72 | $316.23 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $173.78 | $302.00 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $104.71 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $123.03 | $199.53 | $257.04 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Where Rhode Island sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 20th of 51
$295
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.