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 $309.03 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $309.03 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $416.87 | $416.87 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $588.84 | Facility | None | $338.84 | $380.19 | $588.84 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $676.08 | Professional | None (both parts) | $213.80 | $281.84 | $676.08 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $100.00 | $125.89 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $154.88 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,148.15 | Facility | None | $316.23 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $457.09 | Professional | None (both parts) | $275.42 | $436.52 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $181.97 | $281.84 | $302.00 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $208.93 | $380.19 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $77.62 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $213.80 | $416.87 |
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 $154.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 24.0 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· 12th of 51
$437
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.