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 $478.63 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $478.63 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $199.53 | Professional | 26 · Professional part | $141.25 | $181.97 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $338.84 | $416.87 | $467.74 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $1,023.29 | Facility | None | $489.78 | $549.54 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $977.24 | Professional | None (both parts) | $354.81 | $467.74 | $977.24 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $109.65 | $154.88 | $199.53 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $269.15 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,230.27 Typical High $2,187.76 | Facility | None | $562.34 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $776.25 | Professional | None (both parts) | $467.74 | $724.44 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $138.04 | $229.09 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $489.78 Typical High $537.03 | Professional | TC · Technical part | $316.23 | $489.78 | $537.03 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $346.74 | $645.65 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $123.03 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $239.88 | $380.19 | $831.76 |
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 $269.15 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 6.3 times more in Wyoming 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· 16th of 51
$603
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.