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 $446.68 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $446.68 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $371.54 | $416.87 | $416.87 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $1,023.29 | Facility | None | $426.58 | $478.63 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $363.08 Median $489.78 Typical High $933.25 | Professional | None (both parts) | $363.08 | $489.78 | $933.25 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $109.65 | $134.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $263.03 | $323.59 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $2,187.76 | Facility | None | $676.08 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $758.58 Typical High $812.83 | Professional | None (both parts) | $489.78 | $758.58 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $162.18 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $162.18 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $602.56 Typical High $645.65 | Professional | TC · Technical part | $380.19 | $602.56 | $645.65 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $691.83 | Professional | None (both parts) | $371.54 | $512.86 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $87.10 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $549.54 | Professional | TC · Technical part | $295.12 | $446.68 | $549.54 |
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 $288.40 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $114.82 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 5.4 times more in Wyoming 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· 17th of 51
$603
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.