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 $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $354.81 Median $1,258.93 Typical High $1,412.54 | Facility | None | $354.81 | $1,258.93 | $1,412.54 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $77.62 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $77.62 | $346.74 | $346.74 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $52.48 | $77.62 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $208.93 | $251.19 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,047.13 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $302.00 | $371.54 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $61.66 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $309.03 | $446.68 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $218.78 | $630.96 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $45.71 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $645.65 Typical High $1,096.48 | Professional | TC · Technical part | $181.97 | $645.65 | $1,096.48 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Where Rhode Island sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 37th of 51
$372
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.