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 $58.88 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $58.88 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $14.45 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $44.67 | $56.23 | $56.23 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $257.04 | Facility | None | $158.49 | $223.87 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $57.54 | $77.62 | $138.04 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $18.20 | $28.84 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $50.12 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $575.44 | Facility | None | $229.09 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $77.62 | $93.33 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $18.62 | $21.38 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $72.44 | $93.33 |
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 $56.23 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $56.23 | $66.07 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $17.38 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $50.12 | $77.62 |
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 $26.30 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $10.47 | $15.14 | $15.14 |
Where Rhode Island sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 23rd of 51
$77.62
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.