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 $13.80 Median $13.80 Typical High $15.14 | Professional | None (both parts) | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $4.47 Typical High $5.50 | Professional | TC · Technical part | $4.47 | $4.47 | $5.50 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $69.18 | Facility | None | $38.90 | $53.70 | $69.18 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $10.47 Median $14.13 Typical High $26.92 | Professional | None (both parts) | $10.47 | $14.13 | $26.92 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $14.45 | Professional | 26 · Professional part | $6.61 | $9.55 | $14.45 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.89 Typical High $4.57 | Professional | TC · Technical part | $3.16 | $3.89 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $81.28 Typical High $144.54 | Facility | None | $18.20 | $81.28 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $16.98 Typical High $22.39 | Professional | None (both parts) | $14.79 | $16.98 | $22.39 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $11.48 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $5.62 Typical High $7.59 | Professional | TC · Technical part | $5.01 | $5.62 | $7.59 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.59 Typical High $20.89 | Professional | None (both parts) | $10.47 | $12.59 | $20.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $10.00 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $4.17 Typical High $6.92 | Professional | TC · Technical part | $2.19 | $4.17 | $6.92 |
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 $6.92 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.75 |
Where Rhode Island sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 28th of 51
$14.13
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.