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 $275.42 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $275.42 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $218.78 | $354.81 | $354.81 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $302.00 Median $331.13 Typical High $575.44 | Facility | None | $302.00 | $331.13 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $263.03 | $346.74 | $616.60 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $81.28 | $102.33 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,348.96 | Facility | None | $489.78 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $575.44 Typical High $588.84 | Professional | None (both parts) | $363.08 | $575.44 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $123.03 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $446.68 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $446.68 | $457.09 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $263.03 | $331.13 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $275.42 | $380.19 |
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 $138.04 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $138.04 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $85.11 | $85.11 |
Where Rhode Island sits
The same service costs 5.0 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· 14th of 51
$427
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.