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 $44.67 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $44.67 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $12.30 | $15.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $46.77 | Professional | TC · Technical part | $33.11 | $38.02 | $46.77 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $257.04 | Facility | None | $144.54 | $223.87 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $51.29 | $67.61 | $117.49 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $11.22 | $16.22 | $26.92 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $43.65 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $575.44 | Facility | None | $190.55 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $63.10 | $81.28 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $28.18 | Professional | 26 · Professional part | $16.60 | $19.50 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $61.66 | $77.62 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $43.65 | $53.70 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $15.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $38.90 | $64.57 |
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 $21.88 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $21.88 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $10.72 | $10.72 |
Where Rhode Island sits
The same service costs 4.8 times more in Alaska 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· 19th of 51
$67.61
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.