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 $93.33 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $57.54 | $97.72 | $97.72 |
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 $102.33 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $102.33 | $134.90 | $269.15 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $48.98 | $69.18 |
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 $338.84 Median $1,288.25 Typical High $2,290.87 | Facility | None | $338.84 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $131.83 | $165.96 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $58.88 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $107.15 | $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 $100.00 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $100.00 | $154.88 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $44.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $58.88 | $93.33 | $154.88 |
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 $46.77 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $27.54 | $27.54 |
Where Rhode Island sits
The same service costs 4.3 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· 26th of 51
$141
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.