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 $97.72 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | TC · Technical part | $50.12 | $50.12 | $51.29 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $398.11 | Facility | None | $181.97 | $213.80 | $398.11 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $81.28 | $107.15 | $169.82 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $57.54 | $72.44 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $35.48 | $42.66 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $114.82 | $131.83 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $69.18 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $56.23 | $63.10 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $85.11 | $100.00 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $52.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $47.86 | $77.62 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Where Rhode Island sits
The same service costs 4.2 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· 26th of 51
$107
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.