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 $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
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 $43.65 Median $58.88 Typical High $125.89 | Professional | None (both parts) | $43.65 | $58.88 | $125.89 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $27.54 | $46.77 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $30.90 | Professional | TC · Technical part | $21.38 | $25.70 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $302.00 | Facility | None | $120.23 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $63.10 | $69.18 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $28.84 | $32.36 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $36.31 | $53.70 |
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 $43.65 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $43.65 | $61.66 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $28.84 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $36.31 | $48.98 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Where Rhode Island sits
The same service costs 4.5 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
$69.18
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.