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 $95.50 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $95.50 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $51.29 | $56.23 | $64.57 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $81.28 | $109.65 | $190.55 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $47.86 | $87.10 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $44.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $794.33 | Facility | None | $66.07 | $89.13 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $125.89 | $141.25 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $77.62 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $64.57 | $75.86 |
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 $74.13 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $74.13 | $107.15 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $56.23 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $50.12 | $64.57 |
4 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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Where Rhode Island sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 30th of 51
$112
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.