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 $42.66 Median $47.86 Typical High $57.54 | Professional | None (both parts) | $42.66 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $15.14 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $38.90 | Professional | TC · Technical part | $28.84 | $33.11 | $38.90 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $263.03 | Facility | None | $158.49 | $229.09 | $263.03 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $46.77 | $63.10 | $104.71 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $26.30 | Professional | 26 · Professional part | $13.18 | $19.05 | $26.30 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $30.20 | $37.15 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $575.44 | Facility | None | $165.96 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $60.26 | $75.86 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $22.39 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $52.48 | $67.61 |
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 $38.90 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $38.90 | $51.29 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $18.20 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $24.55 | $35.48 | $57.54 |
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 $20.42 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $9.77 | $9.77 |
Where Rhode Island sits
The same service costs 4.5 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· 19th of 51
$63.10
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.