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 $190.55 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $190.55 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $204.17 | $204.17 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $4,570.88 Median $5,888.44 Typical High $8,128.31 | Facility | None | $4,570.88 | $5,888.44 | $8,128.31 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $151.36 | $199.53 | $426.58 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $107.15 | $125.89 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $63.10 | $75.86 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $6,760.83 Typical High $12,022.64 | Facility | None | $380.19 | $6,760.83 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $213.80 | $245.47 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $107.15 | $134.90 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $109.65 | $218.78 |
United Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $169.82 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $426.58 | Professional | TC · Technical part | $75.86 | $120.23 | $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 $72.44 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $72.44 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $28.84 | $53.70 | $53.70 |
Where Rhode Island sits
The same service costs 5.1 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
$245
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.