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 $147.91 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $147.91 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $54.95 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $154.88 | $154.88 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $7,244.36 | Facility | None | $1,230.27 | $2,570.40 | $7,244.36 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $154.88 | $204.17 | $323.59 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $72.44 | $95.50 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,995.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $223.87 | $245.47 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $87.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $154.88 | $251.19 |
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 $173.78 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $173.78 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $173.78 | $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 $74.13 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $41.69 | $41.69 |
Where Rhode Island sits
The same service costs 3.8 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· 28th of 51
$234
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.