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 $117.49 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $117.49 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $46.77 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $223.87 | $223.87 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $5,011.87 | Facility | None | $1,258.93 | $1,445.44 | $5,011.87 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $120.23 | $158.49 | $323.59 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $66.07 | $95.50 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $79.43 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,995.26 Typical High $3,467.37 | Facility | None | $398.11 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $173.78 | $194.98 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $79.43 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $114.82 | $204.17 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $134.90 | $245.47 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $63.10 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $426.58 | Professional | TC · Technical part | $79.43 | $125.89 | $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 $58.88 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $58.88 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $23.44 | $57.54 | $57.54 |
Where Rhode Island sits
The same service costs 4.9 times more in Alaska than in Texas. 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
$195
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.