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 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 $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $602.56 | Facility | None | $323.59 | $512.86 | $602.56 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $524.81 | Professional | None (both parts) | $371.54 | $489.78 | $524.81 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $123.03 | Professional | 26 · Professional part | $77.62 | $112.20 | $123.03 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $263.03 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $707.95 | $870.96 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $181.97 | Professional | 26 · Professional part | $141.25 | $173.78 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $446.68 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $6,456.54 | Facility | None | $436.52 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $660.69 | Professional | None (both parts) | $269.15 | $302.00 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $104.71 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $234.42 | $501.19 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Rhode Island sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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
$479
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.