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 $38.02 Typical High $38.02 | Professional | None (both parts) | $31.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $6.61 | $8.71 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $24.55 | $28.84 | $28.84 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $74.13 Median $467.74 Typical High $549.54 | Facility | None | $74.13 | $467.74 | $549.54 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $38.02 | $51.29 | $51.29 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $10.00 | Professional | 26 · Professional part | $6.92 | $8.51 | $10.00 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $34.67 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,288.25 Typical High $2,290.87 | Facility | None | $151.36 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $81.28 | Professional | None (both parts) | $45.71 | $57.54 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $10.23 | $11.48 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $45.71 | $46.77 | $66.07 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $22.39 | $37.15 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $9.33 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $13.80 | $33.11 | $54.95 |
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 $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $15.85 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $7.59 | $7.59 |
Where Rhode Island sits
The same service costs 3.6 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· 20th of 51
$50.12
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.