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 $30.20 Median $37.15 Typical High $42.66 | Professional | None (both parts) | $30.20 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $13.49 | Professional | 26 · Professional part | $9.55 | $12.02 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $31.62 | Professional | TC · Technical part | $22.91 | $25.12 | $31.62 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $251.19 | Facility | None | $95.50 | $213.80 | $251.19 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $33.88 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $33.88 | $44.67 | $79.43 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $7.59 | $10.72 | $21.38 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $23.99 | $29.51 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $323.59 Typical High $575.44 | Facility | None | $131.83 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $74.13 | Professional | None (both parts) | $43.65 | $53.70 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $12.88 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $53.70 | Professional | TC · Technical part | $38.02 | $41.69 | $53.70 |
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 $31.62 Median $38.02 Typical High $63.10 | Professional | None (both parts) | $31.62 | $38.02 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $10.96 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $28.18 | $44.67 |
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 $15.14 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $7.41 | $7.41 |
Where Rhode Island sits
The same service costs 3.6 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· 24th of 51
$44.67
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.