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 $173.78 Typical High $173.78 | Professional | None (both parts) | $117.49 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $28.18 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $138.04 | $138.04 |
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 $100.00 Median $134.90 Typical High $426.58 | Professional | None (both parts) | $100.00 | $134.90 | $426.58 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $41.69 | $63.10 |
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 $147.91 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $147.91 | $162.18 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $48.98 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $104.71 | $114.82 | $177.83 |
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 $63.10 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $63.10 | $112.20 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $38.02 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $32.36 | $89.13 | $147.91 |
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 $57.54 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $57.54 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $23.44 | $34.67 | $34.67 |
Where Rhode Island sits
The same service costs 4.6 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· 13th of 51
$162
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.