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 $181.97 Typical High $186.21 | Professional | None (both parts) | $169.82 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $162.18 | $177.83 | $181.97 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $870.96 | Facility | None | $426.58 | $758.58 | $870.96 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $30.90 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $30.90 | $165.96 | $169.82 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $27.54 | $33.11 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,288.25 Typical High $2,290.87 | Facility | None | $562.34 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $104.71 | $208.93 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $34.67 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $177.83 | $218.78 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $60.26 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $43.65 | $112.20 | $186.21 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Rhode Island sits
The same service costs 4.1 times more in Alaska than in Utah. 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
$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.