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 $478.63 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $478.63 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $147.91 | $181.97 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $354.81 | $416.87 | $575.44 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $1,023.29 | Facility | None | $524.81 | $588.84 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $1,047.13 | Professional | None (both parts) | $371.54 | $501.19 | $1,047.13 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $104.71 | $147.91 | $186.21 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $245.47 | $295.12 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $2,187.76 | Facility | None | $630.96 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $776.25 Typical High $812.83 | Professional | None (both parts) | $489.78 | $776.25 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $128.82 | $218.78 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $549.54 Typical High $588.84 | Professional | TC · Technical part | $354.81 | $549.54 | $588.84 |
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 $371.54 Median $691.83 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $691.83 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $100.00 | $114.82 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $812.83 | Professional | TC · Technical part | $269.15 | $426.58 | $812.83 |
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 5.8 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· 21st 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.