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 $467.74 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $120.23 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $331.13 Median $812.83 Typical High $1,995.26 | Facility | None | $331.13 | $812.83 | $1,995.26 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $380.19 | $501.19 | $501.19 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $102.33 | $120.23 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $269.15 | $323.59 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $1,621.81 | Facility | None | $676.08 | $933.25 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $794.33 Typical High $831.76 | Professional | None (both parts) | $501.19 | $794.33 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $181.97 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $602.56 Typical High $645.65 | Professional | TC · Technical part | $380.19 | $602.56 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $380.19 | $512.86 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $295.12 | $407.38 | $549.54 |
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 $295.12 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 5.4 times more in Wyoming 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· 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.