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 Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $57.54 | $57.54 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $21.88 | $37.15 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $28.18 Median $275.42 Typical High $446.68 | Facility | None | $28.18 | $275.42 | $446.68 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $43.65 | $58.88 | $97.72 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $28.84 | $50.12 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.89 Typical High $24.55 | Professional | TC · Technical part | $14.45 | $20.89 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $38.90 | Facility | None | $25.12 | $29.51 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $102.33 | Professional | None (both parts) | $48.98 | $48.98 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $28.84 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $20.42 | $39.81 |
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 $40.74 Median $48.98 Typical High $85.11 | Professional | None (both parts) | $40.74 | $48.98 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $36.31 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $17.38 Typical High $33.11 | Professional | TC · Technical part | $10.00 | $17.38 | $33.11 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Where Rhode Island sits
The same service costs 6.5 times more in Minnesota 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· 32nd of 51
$58.88
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.