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 $457.09 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $457.09 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $117.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $416.87 Typical High $436.52 | Professional | TC · Technical part | $363.08 | $416.87 | $436.52 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $954.99 | Facility | None | $426.58 | $478.63 | $954.99 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $371.54 | $501.19 | $933.25 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $117.49 | $151.36 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $263.03 | $323.59 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,548.82 | Facility | None | $660.69 | $891.25 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $758.58 Typical High $812.83 | Professional | None (both parts) | $501.19 | $758.58 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $177.83 Typical High $181.97 | Professional | 26 · Professional part | $104.71 | $177.83 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $588.84 Typical High $630.96 | Professional | TC · Technical part | $380.19 | $588.84 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $371.54 | $489.78 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $95.50 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $380.19 | $524.81 |
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 $288.40 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $114.82 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 5.6 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· 14th 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.