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 $134.90 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $38.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $93.33 | $97.72 | $112.20 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $363.08 | Facility | None | $213.80 | $251.19 | $363.08 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $107.15 | $144.54 | $251.19 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $46.77 | $60.26 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $67.61 | $83.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $575.44 | Facility | None | $323.59 | $407.38 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $158.49 | $177.83 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $56.23 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $109.65 | $123.03 | $154.88 |
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 $102.33 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $102.33 | $125.89 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $43.65 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $87.10 | $144.54 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
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· 23rd of 51
$145
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.