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 $81.28 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $15.14 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $66.07 | $67.61 | $67.61 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $758.58 | Facility | None | $354.81 | $501.19 | $758.58 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $89.13 | $120.23 | $177.83 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $21.88 | $32.36 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $83.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $1,148.15 | Facility | None | $398.11 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $109.65 | $151.36 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $25.70 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $123.03 | $154.88 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $54.95 | $89.13 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $20.42 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $38.02 | $77.62 | $131.83 |
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 $40.74 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.22 | $17.38 | $17.38 |
Where Rhode Island sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$120
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.