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 $26.92 Median $29.51 Typical High $33.88 | Professional | None (both parts) | $26.92 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $7.08 | $8.32 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $24.55 | Professional | TC · Technical part | $19.95 | $21.38 | $24.55 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $251.19 | Facility | None | $93.33 | $213.80 | $251.19 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $31.62 | $42.66 | $63.10 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $10.23 | $14.79 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $31.62 | Professional | TC · Technical part | $22.39 | $26.92 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $575.44 | Facility | None | $120.23 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $67.61 | Professional | None (both parts) | $37.15 | $50.12 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $10.23 | $12.02 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $48.98 | Professional | TC · Technical part | $33.88 | $38.02 | $48.98 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $25.12 | $33.11 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $9.33 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $16.98 | $24.55 | $40.74 |
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 $13.49 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $13.49 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.03 |
Where Rhode Island sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 19th of 51
$42.66
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.