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 $91.20 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | 26 · Professional part | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $42.66 | Professional | TC · Technical part | $38.90 | $40.74 | $42.66 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $275.42 | Facility | None | $169.82 | $223.87 | $275.42 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $147.91 | Professional | None (both parts) | $44.67 | $60.26 | $147.91 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $26.30 | $37.15 | $77.62 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.05 Typical High $22.39 | Professional | TC · Technical part | $15.49 | $19.05 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $323.59 Typical High $575.44 | Facility | None | $91.20 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $63.10 | $70.79 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $44.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $24.55 | $26.30 | $44.67 |
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 $53.70 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $53.70 | $81.28 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $42.66 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $72.44 | Professional | TC · Technical part | $20.42 | $33.88 | $72.44 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Where Rhode Island sits
The same service costs 3.8 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· 24th of 51
$79.43
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.