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 $213.80 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $213.80 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $61.66 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $269.15 | $269.15 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $575.44 | Facility | None | $229.09 | $257.04 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $186.21 | $245.47 | $467.74 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $77.62 | $97.72 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $776.25 Typical High $1,348.96 | Facility | None | $281.84 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $245.47 | $371.54 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $114.82 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $288.40 | Professional | TC · Technical part | $165.96 | $257.04 | $288.40 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $186.21 | $251.19 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $199.53 | $251.19 |
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 $107.15 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $42.66 | $66.07 | $66.07 |
Where Rhode Island sits
The same service costs 5.4 times more in Alaska 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· 16th of 51
$331
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.