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 $446.68 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $446.68 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $114.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $416.87 | $537.03 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $489.78 Median $537.03 Typical High $1,023.29 | Facility | None | $489.78 | $537.03 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $933.25 | Professional | None (both parts) | $331.13 | $446.68 | $933.25 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $114.82 | $144.54 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $229.09 | $281.84 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,230.27 Typical High $2,187.76 | Facility | None | $588.84 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $691.83 Typical High $741.31 | Professional | None (both parts) | $446.68 | $691.83 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $102.33 | $173.78 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $562.34 | Professional | TC · Technical part | $338.84 | $512.86 | $562.34 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $338.84 | $524.81 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $91.20 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $537.03 | Professional | TC · Technical part | $251.19 | $398.11 | $537.03 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 5.6 times more in Wyoming 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· 15th of 51
$603
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.