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 $19.50 Median $23.44 Typical High $26.30 | Professional | None (both parts) | $19.50 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $8.71 | Professional | 26 · Professional part | $6.46 | $7.24 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.60 Typical High $18.62 | Professional | TC · Technical part | $13.49 | $16.60 | $18.62 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $194.98 | Facility | None | $93.33 | $141.25 | $194.98 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.92 Typical High $50.12 | Professional | None (both parts) | $20.42 | $26.92 | $50.12 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.31 | $9.12 | $12.88 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $15.14 Typical High $17.78 | Professional | TC · Technical part | $12.59 | $15.14 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $173.78 Typical High $302.00 | Facility | None | $69.18 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $29.51 | $32.36 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $10.96 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $28.18 | Professional | TC · Technical part | $19.95 | $21.38 | $28.18 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $37.15 | Professional | None (both parts) | $20.89 | $26.30 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $8.32 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $17.38 Typical High $23.99 | Professional | TC · Technical part | $12.88 | $17.38 | $23.99 |
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 $9.12 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $9.12 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $3.72 | $4.79 | $4.79 |
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· 29th of 51
$26.92
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.