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 $125.89 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $125.89 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $33.11 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $91.20 | $165.96 |
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 $109.65 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $109.65 | $147.91 | $158.49 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $40.74 | $51.29 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $91.20 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $575.44 | Facility | None | $323.59 | $446.68 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $154.88 | $181.97 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $48.98 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $120.23 | $134.90 | $162.18 |
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 $83.18 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $83.18 | $125.89 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $37.15 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $93.33 | $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 $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Rhode Island sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 19th of 51
$148
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.