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 $25.70 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $25.70 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $9.55 | Professional | 26 · Professional part | $7.08 | $7.94 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.95 Typical High $23.99 | Professional | TC · Technical part | $18.62 | $19.95 | $23.99 |
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 $29.51 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $29.51 | $38.90 | $58.88 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $10.00 | $14.13 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $25.12 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $575.44 | Facility | None | $112.20 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $63.10 | Professional | None (both parts) | $34.67 | $46.77 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $12.02 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $31.62 | $35.48 | $45.71 |
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 $23.44 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $23.44 | $30.90 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $8.91 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $16.22 | $22.91 | $38.02 |
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 $12.88 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.13 | $5.50 | $5.50 |
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· 21st of 51
$38.90
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.