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 $107.15 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $107.15 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $154.88 | $154.88 |
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 $109.65 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $109.65 | $144.54 | $309.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $64.57 | $93.33 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $69.18 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,995.26 Typical High $3,467.37 | Facility | None | $354.81 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $158.49 | $181.97 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $77.62 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $102.33 | $169.82 |
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 $125.89 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $125.89 | $229.09 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $61.66 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $426.58 | Professional | TC · Technical part | $72.44 | $112.20 | $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 $53.70 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $53.70 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $21.88 | $41.69 | $41.69 |
Where Rhode Island sits
The same service costs 4.8 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· 25th of 51
$186
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.