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 $117.49 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $117.49 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $26.92 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $91.20 | $162.18 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $331.13 | Facility | None | $213.80 | $251.19 | $331.13 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $102.33 | $138.04 | $218.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $33.11 | $41.69 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $72.44 | $89.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $575.44 | Facility | None | $323.59 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $151.36 | $169.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $40.74 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $131.83 | $162.18 |
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 $72.44 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $72.44 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $29.51 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $93.33 | $154.88 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where Rhode Island sits
The same service costs 4.1 times more in Minnesota 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· 19th of 51
$138
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.