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 $131.83 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $34.67 | $34.67 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $97.72 | $97.72 | $112.20 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $331.13 | Facility | None | $204.17 | $239.88 | $331.13 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $131.83 | $177.83 | $186.21 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $39.81 | $51.29 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $575.44 Typical High $758.58 | Facility | None | $323.59 | $575.44 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $177.83 | $309.03 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $47.86 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $263.03 | $263.03 |
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 $100.00 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $100.00 | $151.36 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $37.15 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $125.89 | $229.09 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Rhode Island sits
The same service costs 4.9 times more in Wyoming 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
$178
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.