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 $213.80 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $213.80 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $346.74 | $346.74 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $562.34 | Facility | None | $295.12 | $323.59 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $588.84 | Professional | None (both parts) | $204.17 | $269.15 | $588.84 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $85.11 | $117.49 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $128.82 | $158.49 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $426.58 | Professional | None (both parts) | $269.15 | $416.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $125.89 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $288.40 | $295.12 |
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 $194.98 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $194.98 | $302.00 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $70.79 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $223.87 | $316.23 |
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 $117.49 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $117.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $46.77 | $85.11 | $85.11 |
Where Rhode Island sits
The same service costs 5.1 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· 11th of 51
$380
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.