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 $295.12 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $295.12 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $93.33 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $371.54 | $371.54 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $575.44 | Facility | None | $436.52 | $512.86 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $891.25 | Professional | None (both parts) | $288.40 | $389.05 | $891.25 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $114.82 | $147.91 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $407.38 | $616.60 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $102.33 | $173.78 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $288.40 | $446.68 | $446.68 |
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 $281.84 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $281.84 | $416.87 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $91.20 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $338.84 | $478.63 |
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 $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $138.04 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $54.95 | $93.33 | $93.33 |
Where Rhode Island sits
The same service costs 7.6 times more in Vermont 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· 18th of 51
$468
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.