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 $346.74 Median $416.87 Typical High $436.52 | Professional | TC · Technical part | $346.74 | $416.87 | $436.52 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $398.11 Median $446.68 Typical High $1,548.82 | Facility | None | $398.11 | $446.68 | $1,548.82 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $346.74 | $457.09 | $870.96 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $109.65 | $134.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $245.47 | $295.12 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,905.46 Typical High $3,311.31 | Facility | None | $630.96 | $1,905.46 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $776.25 | Professional | None (both parts) | $457.09 | $724.44 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $165.96 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $549.54 Typical High $602.56 | Professional | TC · Technical part | $346.74 | $549.54 | $602.56 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $346.74 | $512.86 | $645.65 |
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 $269.15 Median $426.58 Typical High $501.19 | Professional | TC · Technical part | $269.15 | $426.58 | $501.19 |
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 $269.15 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 13th 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.