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 $131.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $131.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $44.67 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $125.89 | $125.89 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $154.88 | Facility | None | $112.20 | $138.04 | $154.88 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $144.54 | $194.98 | $323.59 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $64.57 | $81.28 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $89.13 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $302.00 | Facility | None | $173.78 | $218.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $190.55 | $295.12 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $204.17 | Professional | TC · Technical part | $128.82 | $199.53 | $204.17 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $138.04 | $173.78 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $51.29 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $123.03 | $169.82 |
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 $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $35.48 | $35.48 |
Where Rhode Island sits
The same service costs 4.3 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· 25th of 51
$186
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.