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 $104.71 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $104.71 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $77.62 | $97.72 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $186.21 Median $363.08 Typical High $489.78 | Facility | None | $186.21 | $363.08 | $489.78 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $112.20 | $151.36 | $239.88 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $46.77 | $57.54 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $72.44 | $89.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $426.58 Typical High $575.44 | Facility | None | $323.59 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $151.36 | $190.55 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $56.23 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $117.49 | $134.90 | $169.82 |
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 $79.43 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $79.43 | $123.03 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $48.98 | $85.11 | $141.25 |
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 $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Where Rhode Island sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 20th of 51
$151
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.