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 $467.74 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $467.74 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $120.23 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $354.81 | $416.87 | $707.95 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,023.29 | Facility | None | $676.08 | $758.58 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $380.19 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $380.19 | $512.86 | $1,258.93 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $120.23 | $151.36 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $331.13 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $331.13 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $2,187.76 | Facility | None | $676.08 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $776.25 Typical High $812.83 | Professional | None (both parts) | $512.86 | $776.25 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $104.71 | $181.97 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $630.96 | Professional | TC · Technical part | $398.11 | $602.56 | $630.96 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $371.54 | $691.83 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $288.40 | $524.81 | $776.25 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 5.6 times more in Wyoming 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· 25th of 51
$603
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.