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 $112.20 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $112.20 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $77.62 | $93.33 | $104.71 |
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 $93.33 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $93.33 | $125.89 | $223.87 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $37.15 | $46.77 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $61.66 | $74.13 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $575.44 | Facility | None | $323.59 | $363.08 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $125.89 | $154.88 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $45.71 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $89.13 | $109.65 | $131.83 |
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 $81.28 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $81.28 | $107.15 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $33.88 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $79.43 | $128.82 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
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 4.2 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· 19th of 51
$126
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.