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 $83.18 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $83.18 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $20.89 | $22.39 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $67.61 | $81.28 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $426.58 | Facility | None | $177.83 | $331.13 | $426.58 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $91.20 | $120.23 | $194.98 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $24.55 | $33.88 | $39.81 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $60.26 | $72.44 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $575.44 | Facility | None | $323.59 | $354.81 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $120.23 | $151.36 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $42.66 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $109.65 | $138.04 |
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 $60.26 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $60.26 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $31.62 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $70.79 | $117.49 |
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 $41.69 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $18.20 | $18.20 |
Where Rhode Island sits
The same service costs 3.8 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· 19th of 51
$120
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.