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 $239.88 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $239.88 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $67.61 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $177.83 | $302.00 | $302.00 |
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 $257.04 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $257.04 | $338.84 | $562.34 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $85.11 | $107.15 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $177.83 | $218.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $776.25 Typical High $1,348.96 | Facility | None | $436.52 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $338.84 | $537.03 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $128.82 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $251.19 | $407.38 | $407.38 |
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 $234.42 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $234.42 | $309.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $234.42 | $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 $138.04 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
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· 17th of 51
$372
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.