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 $107.15 Typical High $794.33 | Professional | None (both parts) | $107.15 | $107.15 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $85.11 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $758.58 | Professional | TC · Technical part | $75.86 | $75.86 | $758.58 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $676.08 Median $1,445.44 Typical High $6,918.31 | Facility | None | $676.08 | $1,445.44 | $6,918.31 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $125.89 | $165.96 | $173.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $109.65 | $144.54 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $39.81 | $48.98 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $1,995.26 Typical High $3,467.37 | Facility | None | $213.80 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $158.49 | $194.98 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $109.65 | $128.82 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $66.07 | $91.20 |
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 $109.65 Median $1,348.96 Typical High $3,019.95 | Professional | None (both parts) | $109.65 | $1,348.96 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $1,548.82 Typical High $3,235.94 | Professional | TC · Technical part | $35.48 | $1,548.82 | $3,235.94 |
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 $53.70 Typical High $346.74 | Professional | 52 · Reduced service | $53.70 | $53.70 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $138.04 | Professional | 53 · Discontinued | $21.38 | $21.38 | $138.04 |
Where Rhode Island sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 44th of 51
$174
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.