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 $100.00 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $100.00 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $37.15 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $60.26 | $100.00 | $100.00 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,047.13 | $1,513.56 | $1,819.70 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $104.71 | $138.04 | $275.42 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $53.70 | $75.86 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $60.26 | $72.44 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,288.25 Typical High $2,290.87 | Facility | None | $354.81 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $138.04 | $173.78 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $64.57 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $109.65 | $144.54 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $107.15 | $165.96 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $97.72 | $165.96 |
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 $50.12 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $50.12 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $19.95 | $28.84 | $28.84 |
Where Rhode Island sits
The same service costs 4.6 times more in Alaska 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· 27th of 51
$148
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.