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 Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $645.65 Median $1,513.56 Typical High $1,819.70 | Facility | None | $645.65 | $1,513.56 | $1,819.70 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $154.88 | $204.17 | $323.59 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $69.18 | $100.00 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,288.25 Typical High $2,290.87 | Facility | None | $549.54 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $181.97 | $257.04 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $85.11 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $173.78 | $218.78 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $100.00 | $158.49 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $45.71 | $109.65 | $181.97 |
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 $70.79 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $29.51 | $29.51 |
Where Rhode Island sits
The same service costs 4.3 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· 18th of 51
$204
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.