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 $131.83 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $79.43 | $79.43 | $89.13 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $363.08 | Facility | None | $169.82 | $223.87 | $363.08 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $162.18 | $213.80 | $257.04 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $75.86 | $83.18 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $416.87 | Facility | None | $173.78 | $302.00 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $204.17 | $218.78 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $87.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $134.90 | $177.83 |
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 $97.72 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $97.72 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $61.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $89.13 | $158.49 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Rhode Island sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 16th of 51
$204
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.