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 $24.55 Median $27.54 Typical High $38.02 | Professional | None (both parts) | $24.55 | $27.54 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $10.23 | Professional | 26 · Professional part | $6.76 | $7.59 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.95 Typical High $28.18 | Professional | TC · Technical part | $17.78 | $19.95 | $28.18 |
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 $26.30 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $26.30 | $35.48 | $58.88 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.31 | $9.12 | $12.88 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $26.30 | Professional | TC · Technical part | $18.62 | $22.39 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $302.00 | Facility | None | $102.33 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $33.88 | $42.66 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $10.96 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $31.62 | $41.69 |
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 $29.51 Typical High $48.98 | Professional | None (both parts) | $23.44 | $29.51 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $16.22 | $22.39 | $35.48 |
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 $11.48 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $11.48 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $4.68 | $5.50 | $5.50 |
Where Rhode Island sits
The same service costs 3.7 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· 22nd of 51
$35.48
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.