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 $18.20 Median $19.05 Typical High $50.12 | Professional | None (both parts) | $18.20 | $19.05 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $7.94 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.22 Typical High $32.36 | Professional | TC · Technical part | $9.55 | $11.22 | $32.36 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,258.93 | Facility | None | $616.60 | $1,071.52 | $1,258.93 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $33.11 | $53.70 | $53.70 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $12.88 | $15.85 | $18.62 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $30.20 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $1,288.25 Typical High $2,290.87 | Facility | None | $131.83 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $32.36 | $61.66 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $22.39 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $38.90 | $57.54 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $20.42 | $38.02 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $16.22 Typical High $27.54 | Professional | 26 · Professional part | $7.24 | $16.22 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $12.88 | $25.70 | $47.86 |
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 $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Where Rhode Island sits
The same service costs 9.3 times more in Alaska than in New York. 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· 18th of 51
$51.29
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.