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 $173.78 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $173.78 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $275.42 | $275.42 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $562.34 | Facility | None | $234.42 | $263.03 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $169.82 | $223.87 | $489.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $74.13 | $109.65 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $104.71 | $125.89 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $776.25 Typical High $1,348.96 | Facility | None | $251.19 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $338.84 Typical High $346.74 | Professional | None (both parts) | $223.87 | $338.84 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $112.20 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $229.09 | $234.42 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $158.49 | $251.19 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $63.10 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $104.71 | $181.97 | $251.19 |
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 $97.72 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $97.72 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $38.90 | $69.18 | $69.18 |
Where Rhode Island sits
The same service costs 5.9 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· 12th of 51
$309
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.