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 $74.13 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $74.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $28.18 | $28.18 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $83.18 | $83.18 |
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 $56.23 Median $75.86 Typical High $173.78 | Professional | None (both parts) | $56.23 | $75.86 | $173.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $33.88 | $42.66 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $35.48 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $575.44 | Facility | None | $147.91 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $81.28 | $87.10 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $40.74 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $46.77 | $67.61 |
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 $60.26 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $60.26 | $87.10 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $30.90 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $47.86 | $74.13 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
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
$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.