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 $36.31 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $36.31 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $33.88 | Professional | TC · Technical part | $22.39 | $26.92 | $33.88 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $389.05 | Facility | None | $204.17 | $309.03 | $389.05 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $26.30 | $34.67 | $69.18 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $11.75 | $20.89 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.50 Typical High $22.91 | Professional | TC · Technical part | $16.22 | $19.50 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $33.11 | $33.11 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $11.22 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $22.39 | $42.66 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $33.88 | $41.69 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $16.60 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $25.70 | $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 $18.20 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.24 | $8.91 | $8.91 |
Where Rhode Island sits
The same service costs 2.7 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· 24th of 51
$41.69
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.