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 $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $354.81 | Facility | None | $275.42 | $323.59 | $354.81 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $141.25 | $186.21 | $186.21 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $44.67 | $44.67 |
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 $181.97 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $181.97 | $204.17 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $53.70 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $134.90 | $147.91 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $123.03 | $138.04 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $36.31 | $52.48 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Rhode Island sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 14th of 51
$182
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.