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 $125.89 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $125.89 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $56.23 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $158.49 | $158.49 |
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 $128.82 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $128.82 | $173.78 | $354.81 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $81.28 | $117.49 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $64.57 | $77.62 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,995.26 Typical High $3,467.37 | Facility | None | $380.19 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $186.21 | $208.93 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $81.28 | $95.50 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $102.33 | $112.20 | $186.21 |
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 $144.54 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $144.54 | $263.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $77.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $426.58 | Professional | TC · Technical part | $77.62 | $120.23 | $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 $61.66 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $61.66 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $25.12 | $45.71 | $45.71 |
Where Rhode Island sits
The same service costs 4.5 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· 26th of 51
$209
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.