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 $100.00 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $32.36 | $34.67 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $66.07 | $91.20 | $91.20 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,621.81 | $3,630.78 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $100.00 | $131.83 | $263.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $51.29 | $61.66 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $51.29 | $61.66 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,995.26 Typical High $3,467.37 | Facility | None | $331.13 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $131.83 | $165.96 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $72.44 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $93.33 | $144.54 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $63.10 | $112.20 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $38.90 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $32.36 | $77.62 | $128.82 |
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 $50.12 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $25.12 | $25.12 |
Where Rhode Island sits
The same service costs 4.2 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· 24th of 51
$132
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.