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 $489.78 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $489.78 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $389.05 | $416.87 | $524.81 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $1,023.29 | Facility | None | $489.78 | $549.54 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $1,071.52 | Professional | None (both parts) | $426.58 | $562.34 | $1,071.52 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $102.33 | $144.54 | $177.83 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $416.87 | Professional | TC · Technical part | $295.12 | $354.81 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,187.76 | Facility | None | $758.58 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $891.25 Typical High $954.99 | Professional | None (both parts) | $562.34 | $891.25 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $125.89 | $213.80 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $676.08 Typical High $724.44 | Professional | TC · Technical part | $416.87 | $676.08 | $724.44 |
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 $426.58 Median $794.33 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $794.33 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $112.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $512.86 Typical High $812.83 | Professional | TC · Technical part | $331.13 | $512.86 | $812.83 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 6.0 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· 26th 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.