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 $77.62 Median $77.62 Typical High $81.28 | Professional | None (both parts) | $77.62 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 26 · Professional part | $29.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | TC · Technical part | $47.86 | $47.86 | $50.12 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $346.74 | Facility | None | $169.82 | $223.87 | $346.74 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $64.57 | $85.11 | $154.88 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $37.15 | $47.86 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $47.86 | Professional | TC · Technical part | $33.11 | $40.74 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $302.00 | Facility | None | $173.78 | $181.97 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $93.33 | $100.00 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $43.65 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $56.23 | $74.13 |
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 $56.23 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $56.23 | $81.28 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $33.11 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $33.88 | $45.71 | $69.18 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
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· 26th of 51
$85.11
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.