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 $34.67 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $34.67 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $14.79 | $14.79 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $19.95 | $35.48 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $93.33 | Facility | None | $60.26 | $79.43 | $93.33 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $36.31 | $47.86 | $64.57 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $16.60 | $22.39 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $31.62 | Professional | TC · Technical part | $21.88 | $26.92 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $43.65 | $58.88 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $25.70 | Professional | 26 · Professional part | $16.60 | $19.95 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $44.67 | Professional | TC · Technical part | $32.36 | $38.90 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $29.51 | $38.90 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.60 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $16.98 | $23.44 | $40.74 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Where Rhode Island sits
The same service costs 4.1 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· 20th of 51
$47.86
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.