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 $275.42 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $275.42 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $66.07 | $75.86 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $186.21 | $331.13 | $331.13 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $281.84 Median $309.03 Typical High $575.44 | Facility | None | $281.84 | $309.03 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $245.47 | $323.59 | $602.56 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $107.15 | $120.23 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $151.36 | $186.21 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $1,348.96 | Facility | None | $371.54 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $512.86 | Professional | None (both parts) | $323.59 | $501.19 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $162.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $338.84 | $346.74 |
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 $234.42 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $234.42 | $309.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $85.11 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $234.42 | $302.00 |
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 $138.04 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $138.04 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $83.18 | $83.18 |
Where Rhode Island sits
The same service costs 6.3 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· 15th of 51
$407
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.