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 $181.97 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $56.23 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $128.82 | $128.82 | $158.49 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $269.15 Median $354.81 Typical High $467.74 | Facility | None | $269.15 | $354.81 | $467.74 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $154.88 | $208.93 | $229.09 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $47.86 | $69.18 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $112.20 | $134.90 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $239.88 | $380.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $74.13 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $309.03 | $309.03 |
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 $134.90 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $134.90 | $229.09 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $61.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $173.78 | $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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Rhode Island sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 22nd of 51
$224
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.