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 $120.23 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $120.23 | $223.87 | $223.87 |
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 $79.43 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $169.82 | $169.82 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,479.11 Median $3,630.78 Typical High $7,244.36 | Facility | None | $1,479.11 | $3,630.78 | $7,244.36 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $125.89 | $169.82 | $346.74 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $64.57 | $95.50 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $89.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $3,467.37 | Facility | None | $426.58 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $181.97 | $199.53 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $77.62 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $123.03 | $204.17 |
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 $141.25 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $141.25 | $257.04 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $61.66 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $426.58 | Professional | TC · Technical part | $85.11 | $131.83 | $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 $60.26 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $60.26 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $23.99 | $44.67 | $44.67 |
Where Rhode Island sits
The same service costs 4.3 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· 28th of 51
$200
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.