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 $158.49 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $158.49 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $45.71 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $213.80 | $213.80 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $257.04 | Facility | None | $194.98 | $213.80 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $141.25 | $190.55 | $407.38 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $57.54 | $95.50 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $575.44 | Facility | None | $218.78 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $295.12 | Professional | None (both parts) | $186.21 | $288.40 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $85.11 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $204.17 | Professional | TC · Technical part | $131.83 | $199.53 | $204.17 |
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 $131.83 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $131.83 | $208.93 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $51.29 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $151.36 | $204.17 |
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 $83.18 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $33.11 | $54.95 | $54.95 |
Where Rhode Island sits
The same service costs 4.9 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· 14th of 51
$257
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.