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 $28.84 Median $32.36 Typical High $33.11 | Professional | None (both parts) | $28.84 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $10.72 | Professional | 26 · Professional part | $8.13 | $9.55 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $23.44 | Professional | TC · Technical part | $19.95 | $22.39 | $23.44 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $194.98 | Facility | None | $93.33 | $141.25 | $194.98 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $67.61 | Professional | None (both parts) | $31.62 | $41.69 | $67.61 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $11.48 | $16.98 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $302.00 | Facility | None | $117.49 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $42.66 | $51.29 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $13.80 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $33.88 | $37.15 | $46.77 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $57.54 | Professional | None (both parts) | $30.90 | $36.31 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $10.96 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $39.81 | Professional | TC · Technical part | $21.38 | $25.70 | $39.81 |
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 $13.80 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.46 |
Where Rhode Island sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 22nd of 51
$41.69
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.