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 $38.02 Median $38.02 Typical High $74.13 | Professional | None (both parts) | $38.02 | $38.02 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $18.62 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $19.50 | $19.50 | $38.90 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $194.98 | Facility | None | $144.54 | $169.82 | $194.98 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $69.18 | $100.00 | $100.00 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $33.11 | $38.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $42.66 | $51.29 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $102.33 | $120.23 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $46.77 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $74.13 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $40.74 | $83.18 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $16.60 | $34.67 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $54.95 | $83.18 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Where Rhode Island sits
The same service costs 5.9 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· 18th of 51
$97.72
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.