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 $25.70 Median $27.54 Typical High $36.31 | Professional | None (both parts) | $25.70 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $10.00 | Professional | 26 · Professional part | $7.41 | $8.32 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $26.30 | Professional | TC · Technical part | $18.62 | $19.50 | $26.30 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $194.98 | Facility | None | $93.33 | $141.25 | $194.98 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $29.51 | $38.90 | $60.26 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $10.72 | $14.13 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $28.18 | Professional | TC · Technical part | $19.95 | $23.99 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $302.00 | Facility | None | $109.65 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $38.02 | $47.86 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $10.72 | $12.88 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $34.67 | $44.67 |
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 $21.88 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $21.88 | $30.90 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $9.55 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $14.13 | $22.91 | $38.02 |
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 $12.88 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.25 | $5.50 | $5.50 |
Where Rhode Island sits
The same service costs 4.3 times more in Alaska than in New York. 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
$38.90
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.