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 $93.33 Median $93.33 Typical High $120.23 | Professional | None (both parts) | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 26 · Professional part | $30.90 | $30.90 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $63.10 | $87.10 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $257.04 | Facility | None | $131.83 | $223.87 | $257.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $102.33 | $138.04 | $208.93 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $37.15 | $46.77 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $100.00 | Professional | TC · Technical part | $69.18 | $85.11 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $426.58 Typical High $575.44 | Facility | None | $323.59 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $151.36 | $173.78 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $45.71 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $112.20 | $131.83 | $158.49 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $77.62 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $36.31 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $89.13 | $147.91 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Rhode Island sits
The same service costs 3.9 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· 20th of 51
$138
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.