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 $45.71 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $58.88 | $58.88 |
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 $5,495.41 Typical High $7,244.36 | Facility | None | $660.69 | $5,495.41 | $7,244.36 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $89.13 | $102.33 | $120.23 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $64.57 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $6,760.83 Typical High $12,022.64 | Facility | None | $1,023.29 | $6,760.83 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $354.81 | $398.11 | $588.84 |
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 $288.40 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $316.23 | $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 $257.04 Median $2,691.53 Typical High $4,897.79 | Professional | None (both parts) | $257.04 | $2,691.53 | $4,897.79 |
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 $204.17 Median $2,884.03 Typical High $4,786.30 | Professional | TC · Technical part | $204.17 | $2,884.03 | $4,786.30 |
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· 37th of 51
$427
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.