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 $26.92 Median $28.18 Typical High $43.65 | Professional | None (both parts) | $26.92 | $28.18 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $10.72 | Professional | 26 · Professional part | $7.08 | $7.94 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $19.50 | $20.42 | $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 $30.20 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $30.20 | $39.81 | $61.66 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $6.61 | $9.55 | $14.13 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $30.90 | Professional | TC · Technical part | $21.38 | $25.70 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $302.00 | Facility | None | $120.23 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $35.48 | $48.98 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $11.48 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $37.15 | $48.98 |
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 $23.44 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $23.44 | $32.36 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $8.91 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $24.55 | $40.74 |
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 $13.18 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $13.18 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.25 | $5.75 | $5.75 |
Where Rhode Island sits
The same service costs 3.8 times more in Alaska 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
$39.81
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.