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 $363.08 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $363.08 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $112.20 | $117.49 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $323.59 | Professional | TC · Technical part | $251.19 | $302.00 | $323.59 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $190.55 Median $512.86 Typical High $1,258.93 | Facility | None | $190.55 | $512.86 | $1,258.93 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $263.03 | $346.74 | $537.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $102.33 | $151.36 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $794.33 | Facility | None | $165.96 | $223.87 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $616.60 | Professional | None (both parts) | $398.11 | $588.84 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $154.88 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $436.52 | $436.52 |
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 $239.88 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $239.88 | $416.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $120.23 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $302.00 | $363.08 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Where Rhode Island sits
The same service costs 4.8 times more in Alaska 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· 19th of 51
$417
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.