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 $213.80 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $213.80 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $66.07 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $275.42 | $275.42 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $575.44 | Facility | None | $223.87 | $251.19 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $186.21 | $245.47 | $467.74 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $79.43 | $104.71 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $776.25 Typical High $1,348.96 | Facility | None | $281.84 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $245.47 | $371.54 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $114.82 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $165.96 | $257.04 | $281.84 |
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 $186.21 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $186.21 | $295.12 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $66.07 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $234.42 | $263.03 |
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 $107.15 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $42.66 | $69.18 | $69.18 |
Where Rhode Island sits
The same service costs 5.9 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· 13th of 51
$339
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.