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 $309.03 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $309.03 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $102.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $371.54 | $371.54 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $575.44 | Facility | None | $354.81 | $389.05 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $295.12 | $389.05 | $724.44 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $120.23 | $158.49 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,348.96 | Facility | None | $549.54 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $436.52 | $691.83 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $181.97 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $323.59 | $512.86 | $512.86 |
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 $309.03 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $309.03 | $457.09 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $363.08 Typical High $446.68 | Professional | TC · Technical part | $223.87 | $363.08 | $446.68 |
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 $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $54.95 | $95.50 | $95.50 |
Where Rhode Island sits
The same service costs 6.0 times more in Alaska than in Texas. 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
$479
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.