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 $30.90 Typical High $33.11 | Professional | None (both parts) | $27.54 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $9.55 | Professional | 26 · Professional part | $7.24 | $8.51 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $23.44 | Professional | TC · Technical part | $19.95 | $22.39 | $23.44 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $194.98 | Facility | None | $104.71 | $158.49 | $194.98 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $30.20 | $40.74 | $66.07 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $10.23 | $14.79 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $25.70 | $30.20 |
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 $39.81 Median $48.98 Typical High $64.57 | Professional | None (both parts) | $39.81 | $48.98 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $12.59 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $33.88 | $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 $28.84 Median $33.88 Typical High $54.95 | Professional | None (both parts) | $28.84 | $33.88 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $9.33 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $20.89 | $25.12 | $38.90 |
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 $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $6.31 | $6.31 |
Where Rhode Island sits
The same service costs 3.5 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· 23rd of 51
$40.74
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.