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 $138.04 Typical High $138.04 | Professional | None (both parts) | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $19.50 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $109.65 | $112.20 | $112.20 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $575.44 | Facility | None | $354.81 | $416.87 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $141.25 | $186.21 | $295.12 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $28.18 | $40.74 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $112.20 | $134.90 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $676.08 Typical High $1,148.15 | Facility | None | $660.69 | $676.08 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $186.21 | $239.88 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $33.88 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $204.17 | $263.03 |
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 $93.33 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $93.33 | $147.91 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $26.30 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $70.79 | $134.90 | $223.87 |
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 $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $27.54 | $27.54 |
Where Rhode Island sits
The same service costs 3.8 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· 20th of 51
$186
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.