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 $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $288.40 | Facility | None | $229.09 | $257.04 | $288.40 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $104.71 | $138.04 | $263.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $67.61 | $97.72 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $48.98 | $60.26 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $147.91 | $173.78 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $69.18 | $81.28 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $91.20 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $123.03 | $154.88 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $67.61 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $64.57 | $81.28 | $112.20 |
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 $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Rhode Island sits
The same service costs 5.6 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· 28th of 51
$148
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.