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 $28.18 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $28.18 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $10.72 | Professional | 26 · Professional part | $7.08 | $9.33 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $19.95 | $21.38 | $32.36 |
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 $31.62 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $31.62 | $42.66 | $67.61 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $6.92 | $10.00 | $16.60 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | TC · Technical part | $22.91 | $27.54 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $302.00 | Facility | None | $125.89 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $38.90 | $51.29 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $17.38 | Professional | 26 · Professional part | $10.23 | $12.02 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $39.81 | $52.48 |
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 $25.12 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $25.12 | $33.88 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $9.55 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $16.98 | $26.30 | $43.65 |
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 $14.13 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.13 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.17 |
Where Rhode Island sits
The same service costs 12.9 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· 20th of 51
$42.66
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.