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 $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $204.17 Median $251.19 Typical High $363.08 | Facility | None | $204.17 | $251.19 | $363.08 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $69.18 | $93.33 | $173.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $39.81 | $54.95 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $53.70 | Professional | TC · Technical part | $37.15 | $45.71 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $575.44 | Facility | None | $229.09 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $100.00 | $112.20 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $46.77 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $66.07 | $91.20 |
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 $75.86 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $75.86 | $102.33 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $38.02 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $46.77 | $64.57 | $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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Rhode Island sits
The same service costs 3.7 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· 27th of 51
$97.72
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.