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 $72.44 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $24.55 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $57.54 | $57.54 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $46.77 | $52.48 | $63.10 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $35.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $109.65 | $125.89 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $43.65 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $83.18 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $131.83 | $169.82 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $144.54 | $229.09 |
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 $36.31 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $14.45 | $17.38 | $17.38 |
Where Rhode Island sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 32nd of 51
$126
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.