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 $39.81 Median $46.77 Typical High $50.12 | Professional | None (both parts) | $39.81 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $16.60 | Professional | 26 · Professional part | $13.49 | $16.22 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $32.36 | Professional | TC · Technical part | $26.92 | $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 $41.69 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $41.69 | $56.23 | $100.00 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $28.84 | Professional | 26 · Professional part | $11.48 | $16.60 | $28.84 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $27.54 | $33.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $575.44 | Facility | None | $151.36 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $61.66 | $67.61 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $16.98 | $19.95 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $47.86 | $61.66 |
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 $41.69 Median $52.48 Typical High $77.62 | Professional | None (both parts) | $41.69 | $52.48 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.60 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $35.48 | $52.48 |
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 $19.05 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.59 | $9.55 | $9.55 |
Where Rhode Island sits
The same service costs 4.0 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· 26th of 51
$56.23
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.