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 $104.71 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $23.44 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | TC · Technical part | $77.62 | $77.62 | $87.10 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $1,071.52 | Facility | None | $616.60 | $776.25 | $1,071.52 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $117.49 | $154.88 | $223.87 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $33.11 | $48.98 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $85.11 | $104.71 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,288.25 Typical High $2,290.87 | Facility | None | $537.03 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $131.83 | $204.17 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $40.74 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $123.03 | $162.18 | $208.93 |
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 $95.50 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $95.50 | $128.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $30.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $104.71 | $173.78 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Rhode Island sits
The same service costs 3.9 times more in Alaska than in New York. 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· 19th of 51
$155
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.