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 $31.62 Median $31.62 Typical High $52.48 | Professional | None (both parts) | $31.62 | $31.62 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.61 Typical High $8.91 | Professional | 26 · Professional part | $5.89 | $6.61 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $25.12 | $25.12 | $43.65 |
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 $36.31 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $36.31 | $47.86 | $72.44 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $5.75 | $8.32 | $11.75 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $28.18 | $33.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $302.00 | Facility | None | $147.91 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $39.81 | $56.23 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $8.32 | $10.00 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $39.81 | $46.77 | $60.26 |
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 $19.95 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $19.95 | $33.88 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.41 Typical High $12.30 | Professional | 26 · Professional part | $5.89 | $7.41 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $30.20 Typical High $50.12 | Professional | TC · Technical part | $14.13 | $30.20 | $50.12 |
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 $15.49 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.17 | $6.31 | $6.31 |
Where Rhode Island sits
The same service costs 11.5 times more in Vermont 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· 18th of 51
$47.86
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.