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 $27.54 Median $28.84 Typical High $31.62 | Professional | None (both parts) | $27.54 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $9.12 | Professional | 26 · Professional part | $7.59 | $8.32 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $22.91 | Professional | TC · Technical part | $19.50 | $20.42 | $22.91 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $194.98 | Facility | None | $93.33 | $141.25 | $194.98 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $30.90 | $41.69 | $61.66 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $10.72 | $14.13 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $30.90 | Professional | TC · Technical part | $21.38 | $25.70 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $302.00 | Facility | None | $114.82 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $64.57 | Professional | None (both parts) | $38.90 | $48.98 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $10.72 | $12.88 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $32.36 | $36.31 | $46.77 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $21.88 | $30.20 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $9.33 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $14.13 | $23.99 | $39.81 |
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 $13.49 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $13.49 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.37 | $5.75 | $5.75 |
Where Rhode Island sits
The same service costs 4.1 times more in Alaska than in New York. 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
$41.69
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.