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 $346.74 Median $501.19 Typical High $512.86 | Professional | None (both parts) | $346.74 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $128.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $371.54 | $389.05 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $575.44 | Facility | None | $371.54 | $416.87 | $575.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $323.59 | $426.58 | $794.33 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $158.49 | $199.53 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $1,348.96 | Facility | None | $741.31 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $588.84 | $912.01 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $138.04 | $234.42 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $676.08 Typical High $691.83 | Professional | TC · Technical part | $446.68 | $676.08 | $691.83 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $426.58 | $588.84 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $123.03 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $446.68 | $602.56 |
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 $147.91 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $147.91 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $100.00 | $100.00 |
Where Rhode Island sits
The same service costs 6.8 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· 25th of 51
$513
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.