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 $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $398.11 | Facility | None | $331.13 | $371.54 | $398.11 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $154.88 | $204.17 | $204.17 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.44 | $33.11 | $33.11 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $147.91 | $158.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $41.69 | $42.66 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $112.20 | $117.49 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $147.91 | $165.96 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $43.65 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $123.03 | $190.55 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Rhode Island sits
The same service costs 4.2 times more in Nebraska 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· 29th of 51
$170
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.