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 $36.31 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $36.31 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $15.49 | Professional | 26 · Professional part | $13.18 | $15.14 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $45.71 | $45.71 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $870.96 | Facility | None | $354.81 | $741.31 | $870.96 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $38.90 | $51.29 | $87.10 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $26.30 | Professional | 26 · Professional part | $12.88 | $18.62 | $26.30 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $23.44 | $28.18 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $660.69 Typical High $1,148.15 | Facility | None | $125.89 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $61.66 Typical High $83.18 | Professional | None (both parts) | $56.23 | $61.66 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $21.88 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $37.15 | $38.90 | $53.70 |
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 $39.81 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $39.81 | $51.29 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $27.54 | Professional | 26 · Professional part | $14.45 | $17.78 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $34.67 | $56.23 |
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 $17.38 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $17.38 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $6.92 | $12.30 | $12.30 |
Where Rhode Island sits
The same service costs 3.8 times more in Alaska than in New York. 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
$61.66
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.