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 $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $562.34 | Facility | None | $281.84 | $501.19 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $100.00 | $131.83 | $131.83 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $50.12 | $50.12 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $58.88 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $1,148.15 | Facility | None | $281.84 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $131.83 | $147.91 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $51.29 | $58.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $79.43 | $87.10 | $87.10 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $89.13 | $257.04 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $53.70 | $218.78 | $346.74 |
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 $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 3.6 times more in Nebraska than in New Jersey. 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· 39th of 51
$148
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.