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 $446.68 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $446.68 | $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 $338.84 Median $416.87 Typical High $436.52 | Professional | TC · Technical part | $338.84 | $416.87 | $436.52 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $398.11 Median $436.52 Typical High $524.81 | Facility | None | $398.11 | $436.52 | $524.81 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $251.19 | $338.84 | $758.58 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $69.18 | $97.72 | $123.03 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $165.96 | $204.17 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,148.15 | Facility | None | $426.58 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $524.81 Typical High $562.34 | Professional | None (both parts) | $331.13 | $524.81 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $407.38 | Professional | TC · Technical part | $239.88 | $380.19 | $407.38 |
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 $251.19 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $251.19 | $416.87 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $77.62 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $186.21 | $309.03 | $446.68 |
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 $257.04 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 6.0 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· 11th of 51
$513
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.