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 $239.88 Typical High $281.84 | Professional | None (both parts) | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $19.05 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $229.09 | $229.09 | $275.42 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $524.81 Median $1,023.29 Typical High $1,258.93 | Facility | None | $524.81 | $1,023.29 | $1,258.93 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $41.69 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $41.69 | $97.72 | $97.72 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $26.92 | $40.74 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $60.26 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $1,288.25 Typical High $2,290.87 | Facility | None | $165.96 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $72.44 | $83.18 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $33.11 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $50.12 | $72.44 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $66.07 | $478.63 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $25.70 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $43.65 | $501.19 | $831.76 |
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 $120.23 Median $120.23 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $47.86 | $56.23 |
Where Rhode Island sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 42nd of 51
$97.72
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.