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 $31.62 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $31.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.41 | $8.91 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $24.55 | $26.30 | $26.30 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $257.04 | Facility | None | $112.20 | $223.87 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $36.31 | $47.86 | $77.62 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $10.72 | $15.14 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $31.62 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $575.44 | Facility | None | $141.25 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $46.77 | $58.88 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $12.88 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $41.69 | $45.71 | $57.54 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $29.51 | $38.90 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $9.77 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $20.89 | $29.51 | $48.98 |
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 $15.85 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $15.85 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.46 | $7.08 | $7.08 |
Where Rhode Island sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$47.86
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.