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 $107.15 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $107.15 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $158.49 | $158.49 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $12,302.69 | Facility | None | $4,570.88 | $9,120.11 | $12,302.69 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $112.20 | $151.36 | $316.23 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $64.57 | $93.33 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $60.26 | $72.44 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $11,481.54 Typical High $19,952.62 | Facility | None | $354.81 | $11,481.54 | $19,952.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $162.18 | $181.97 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $79.43 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $95.50 | $104.71 | $169.82 |
United Setting Facility Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | None | $12,302.69 | $12,302.69 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $125.89 | $229.09 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $426.58 | Professional | TC · Technical part | $72.44 | $112.20 | $426.58 |
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 $53.70 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $53.70 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $21.88 | $42.66 | $42.66 |
Where Rhode Island sits
The same service costs 4.9 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· 27th of 51
$186
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.