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 $676.08 | Professional | None (both parts) | $426.58 | $426.58 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $407.38 | $407.38 | $660.69 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $7,244.36 | Facility | None | $660.69 | $2,187.76 | $7,244.36 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $70.79 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $70.79 | $380.19 | $380.19 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $47.86 | $69.18 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $234.42 | $281.84 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,071.52 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $338.84 | $389.05 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $56.23 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $331.13 | $467.74 |
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 $239.88 Median $1,288.25 Typical High $2,951.21 | Professional | None (both parts) | $239.88 | $1,288.25 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $44.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $1,548.82 Typical High $3,235.94 | Professional | TC · Technical part | $204.17 | $1,548.82 | $3,235.94 |
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 $338.84 | Professional | 52 · Reduced service | $213.80 | $213.80 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | 53 · Discontinued | $85.11 | $85.11 | $134.90 |
Where Rhode Island sits
The same service costs 15.1 times more in Colorado 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· 39th of 51
$389
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.