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 $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $223.87 | Facility | None | $173.78 | $208.93 | $223.87 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $89.13 | $120.23 | $181.97 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $83.18 | $112.20 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $30.20 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $125.89 | $138.04 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $97.72 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $39.81 | $39.81 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $95.50 | $138.04 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $81.28 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $44.67 Typical High $186.21 | Professional | TC · Technical part | $25.70 | $44.67 | $186.21 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Where Rhode Island sits
The same service costs 5.2 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· 25th of 51
$126
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.