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 $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $331.13 Median $389.05 Typical High $407.38 | Facility | None | $331.13 | $389.05 | $407.38 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $181.97 | $213.80 | $213.80 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $123.03 | $123.03 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $218.78 | $234.42 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $125.89 | $144.54 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $87.10 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $151.36 | $162.18 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $64.57 | $109.65 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Rhode Island sits
The same service costs 4.2 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· 15th of 51
$214
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.