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 $302.00 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $302.00 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $102.33 | $112.20 |
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 $346.74 Median $389.05 Typical High $575.44 | Facility | None | $346.74 | $389.05 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $295.12 | $389.05 | $724.44 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $120.23 | $162.18 |
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 $489.78 Median $776.25 Typical High $1,348.96 | Facility | None | $489.78 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $416.87 | $630.96 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $181.97 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $181.97 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $295.12 | $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 $288.40 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $288.40 | $467.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $354.81 | $457.09 |
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 $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $54.95 | $95.50 | $95.50 |
Where Rhode Island sits
The same service costs 12.3 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· 16th of 51
$479
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.