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 $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $316.23 | $323.59 | $323.59 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $123.03 | $123.03 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $141.25 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $794.33 | Facility | None | $117.49 | $158.49 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $354.81 | $398.11 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $128.82 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $223.87 | $245.47 | $245.47 |
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 $186.21 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $186.21 | $234.42 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $97.72 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $138.04 | $199.53 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Rhode Island sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 17th of 51
$316
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.