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 $147.91 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $147.91 | $147.91 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $63.10 | $128.82 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $489.78 | Facility | None | $131.83 | $416.87 | $489.78 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $177.83 | $234.42 | $309.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $104.71 | $134.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $257.04 | $288.40 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $125.89 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $165.96 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $128.82 | $204.17 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $53.70 | $117.49 | $194.98 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Rhode Island sits
The same service costs 5.8 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· 18th of 51
$234
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.