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 $162.18 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $162.18 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $56.23 | Professional | 26 · Professional part | $46.77 | $54.95 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $177.83 | $177.83 |
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 $134.90 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $134.90 | $181.97 | $363.08 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $63.10 | $91.20 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $100.00 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $11,481.54 Typical High $19,952.62 | Facility | None | $457.09 | $11,481.54 | $19,952.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $194.98 | $213.80 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $75.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $134.90 | $223.87 |
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 $151.36 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $151.36 | $263.03 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $426.58 | Professional | TC · Technical part | $93.33 | $144.54 | $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 $63.10 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $63.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $25.12 | $45.71 | $45.71 |
Where Rhode Island sits
The same service costs 4.2 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· 26th of 51
$214
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.