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 $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $331.13 | Facility | None | $257.04 | $302.00 | $331.13 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $131.83 | $173.78 | $173.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $21.88 | $31.62 | $31.62 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $138.04 | $154.88 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $32.36 | $38.02 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $104.71 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $112.20 | $125.89 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $25.70 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $100.00 | $158.49 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Where Rhode Island sits
The same service costs 4.0 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· 15th of 51
$155
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.