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 $165.96 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $165.96 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $53.70 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $213.80 | $213.80 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $257.04 | Facility | None | $181.97 | $199.53 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $144.54 | $190.55 | $371.54 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $67.61 | $85.11 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $104.71 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $575.44 | Facility | None | $204.17 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $190.55 | $288.40 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $100.00 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $190.55 | $218.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $147.91 | $213.80 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $56.23 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $165.96 | $199.53 |
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 $83.18 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $83.18 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $53.70 | $53.70 |
Where Rhode Island sits
The same service costs 5.8 times more in Vermont 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· 13th of 51
$269
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.