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 $81.28 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $81.28 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $26.30 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $61.66 | $69.18 |
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 $54.95 Median $72.44 Typical High $151.36 | Professional | None (both parts) | $54.95 | $72.44 | $151.36 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $33.11 | $40.74 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $38.90 | Professional | TC · Technical part | $27.54 | $33.88 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $575.44 | Facility | None | $190.55 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $77.62 | $87.10 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $40.74 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $46.77 | $75.86 |
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 $67.61 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $67.61 | $81.28 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $30.20 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $38.90 | $53.70 | $89.13 |
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 $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Where Rhode Island sits
The same service costs 4.1 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· 25th of 51
$87.10
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.