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 $75.86 Median $79.43 Typical High $83.18 | Professional | None (both parts) | $75.86 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $18.62 | Professional | 26 · Professional part | $15.85 | $18.20 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $66.07 | Professional | TC · Technical part | $57.54 | $61.66 | $66.07 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $933.25 | Facility | None | $478.63 | $524.81 | $933.25 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $85.11 | $112.20 | $165.96 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $15.49 | $22.39 | $30.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $77.62 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $1,148.15 | Facility | None | $389.05 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $100.00 | $147.91 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $26.92 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $123.03 | $151.36 |
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 $61.66 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $61.66 | $87.10 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $20.89 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $75.86 Typical High $125.89 | Professional | TC · Technical part | $43.65 | $75.86 | $125.89 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Where Rhode Island sits
The same service costs 4.0 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· 21st of 51
$112
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.