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 $144.54 | Professional | None (both parts) | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $91.20 | $91.20 | $104.71 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $562.34 | Facility | None | $281.84 | $501.19 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $107.15 | $144.54 | $223.87 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $42.66 | $54.95 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $100.00 | Professional | TC · Technical part | $70.79 | $85.11 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,148.15 | Facility | None | $426.58 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $154.88 | $177.83 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $51.29 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $112.20 | $125.89 | $154.88 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $85.11 | $120.23 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $38.90 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $89.13 | $147.91 |
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 3.9 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· 19th of 51
$145
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.