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 $138.04 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $46.77 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $177.83 | $177.83 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,479.11 Median $5,495.41 Typical High $7,244.36 | Facility | None | $1,479.11 | $5,495.41 | $7,244.36 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $151.36 | $204.17 | $398.11 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $67.61 | $102.33 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $6,760.83 Typical High $12,022.64 | Facility | None | $524.81 | $6,760.83 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $218.78 | $239.88 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $79.43 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $151.36 | $158.49 | $234.42 |
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 $165.96 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $165.96 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $63.10 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $426.58 | Professional | TC · Technical part | $102.33 | $162.18 | $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 $69.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $27.54 | $48.98 | $48.98 |
Where Rhode Island sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$240
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.