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 $100.00 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $63.10 | $63.10 | $81.28 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $234.42 | Facility | None | $131.83 | $177.83 | $234.42 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $117.49 | $158.49 | $218.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $43.65 | $54.95 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $114.82 | Professional | TC · Technical part | $79.43 | $97.72 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $524.81 | Facility | None | $173.78 | $302.00 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $186.21 | $208.93 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $52.48 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $141.25 | $158.49 | $199.53 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $85.11 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $38.90 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $107.15 | $190.55 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Where Rhode Island sits
The same service costs 3.7 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
$158
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.