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 $251.19 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $251.19 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $363.08 | $363.08 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $562.34 | Facility | None | $295.12 | $331.13 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $213.80 | $288.40 | $588.84 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $81.28 | $102.33 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $144.54 | $173.78 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $1,348.96 | Facility | None | $346.74 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $288.40 | $436.52 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $123.03 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $316.23 Typical High $363.08 | Professional | TC · Technical part | $204.17 | $316.23 | $363.08 |
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 $223.87 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $223.87 | $302.00 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $251.19 | $323.59 |
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 $125.89 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $85.11 | $85.11 |
Where Rhode Island sits
The same service costs 5.1 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· 8th of 51
$417
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.