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 $331.13 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $331.13 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $239.88 | $416.87 | $416.87 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $588.84 | Facility | None | $234.42 | $263.03 | $588.84 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $223.87 | $302.00 | $549.54 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $91.20 | $114.82 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $208.93 | Professional | TC · Technical part | $144.54 | $177.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $1,148.15 | Facility | None | $354.81 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $478.63 | Professional | None (both parts) | $295.12 | $457.09 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $79.43 | $138.04 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $316.23 | $338.84 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $218.78 | $407.38 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $70.79 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $239.88 | $436.52 |
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 $165.96 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $165.96 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $66.07 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 13.5 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· 12th of 51
$457
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.