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 $190.55 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $190.55 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $57.54 | $67.61 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $213.80 | $213.80 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $177.83 Median $199.53 Typical High $257.04 | Facility | None | $177.83 | $199.53 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $165.96 | $218.78 | $407.38 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $85.11 | $107.15 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $575.44 | Facility | None | $229.09 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $346.74 | Professional | None (both parts) | $218.78 | $338.84 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $128.82 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $208.93 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $208.93 | $218.78 |
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 $154.88 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $154.88 | $213.80 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $158.49 | $194.98 |
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 $95.50 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $95.50 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $38.90 | $56.23 | $56.23 |
Where Rhode Island sits
The same service costs 5.8 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· 16th of 51
$282
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.