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 $87.10 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $87.10 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $52.48 | $53.70 | $53.70 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $186.21 Median $457.09 Typical High $524.81 | Facility | None | $186.21 | $457.09 | $524.81 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $104.71 | $141.25 | $190.55 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $51.29 | $70.79 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $74.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $660.69 Typical High $1,148.15 | Facility | None | $338.84 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $144.54 | $158.49 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $51.29 | $58.88 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $97.72 | $134.90 |
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 $102.33 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $102.33 | $120.23 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $45.71 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $72.44 | $114.82 |
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 $43.65 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $18.62 | $18.62 |
Where Rhode Island sits
The same service costs 4.4 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· 18th of 51
$141
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.