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 $38.02 Median $44.67 Typical High $46.77 | Professional | None (both parts) | $38.02 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $11.75 | Professional | 26 · Professional part | $10.00 | $10.47 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $35.48 | Professional | TC · Technical part | $29.51 | $33.88 | $35.48 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $251.19 | Facility | None | $93.33 | $213.80 | $251.19 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $41.69 | $56.23 | $93.33 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $14.45 | $18.20 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $41.69 | Professional | TC · Technical part | $28.84 | $35.48 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $575.44 | Facility | None | $158.49 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $56.23 | $67.61 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $17.38 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $50.12 | $64.57 |
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 $40.74 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $40.74 | $47.86 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $12.88 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $35.48 | $53.70 |
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 $19.05 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $8.91 | $8.91 |
Where Rhode Island sits
The same service costs 3.9 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· 20th of 51
$56.23
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.