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 $41.69 Median $44.67 Typical High $46.77 | Professional | None (both parts) | $41.69 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $15.14 | Professional | 26 · Professional part | $11.75 | $13.49 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $32.36 | Professional | TC · Technical part | $28.84 | $30.90 | $32.36 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $257.04 | Facility | None | $144.54 | $223.87 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $44.67 | $60.26 | $93.33 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $16.60 | $23.44 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $30.20 | $36.31 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $575.44 | Facility | None | $169.82 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $57.54 | $74.13 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $27.54 | Professional | 26 · Professional part | $16.60 | $19.95 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $53.70 | $67.61 |
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 $38.90 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $38.90 | $48.98 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $12.59 | $14.79 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $26.30 | $35.48 | $57.54 |
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 $19.95 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.95 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.94 | $8.91 | $8.91 |
Where Rhode Island sits
The same service costs 4.1 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· 19th of 51
$60.26
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.