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 $257.04 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $257.04 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $346.74 | $346.74 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $562.34 | Facility | None | $281.84 | $316.23 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $218.78 | $295.12 | $562.34 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $85.11 | $104.71 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $208.93 | Professional | TC · Technical part | $144.54 | $177.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $1,348.96 | Facility | None | $346.74 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $288.40 | $446.68 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $125.89 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $125.89 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $354.81 | Professional | TC · Technical part | $208.93 | $316.23 | $354.81 |
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 $218.78 Median $354.81 Typical High $436.52 | Professional | None (both parts) | $218.78 | $354.81 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $295.12 | $331.13 |
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 $125.89 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $51.29 | $83.18 | $83.18 |
Where Rhode Island sits
The same service costs 5.2 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· 11th of 51
$417
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.