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 $138.04 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $138.04 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $56.23 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $151.36 | $151.36 |
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 $141.25 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $141.25 | $190.55 | $416.87 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $81.28 | $112.20 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $75.86 | $93.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,288.25 Typical High $2,290.87 | Facility | None | $407.38 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $199.53 | $251.19 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $97.72 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $190.55 | Professional | TC · Technical part | $123.03 | $154.88 | $190.55 |
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 $138.04 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $138.04 | $229.09 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $70.79 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $70.79 | $125.89 | $204.17 |
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 $69.18 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $27.54 | $42.66 | $42.66 |
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· 24th of 51
$214
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.