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 $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $67.61 | $89.13 | $89.13 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $33.88 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $162.18 | $177.83 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $61.66 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $104.71 | $114.82 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $245.47 | $251.19 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $41.69 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $204.17 | $213.80 | $331.13 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Where Rhode Island sits
The same service costs 5.2 times more in North Dakota 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· 26th of 51
$178
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.