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 $33.88 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $33.88 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $15.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $40.74 | $40.74 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $199.53 | Facility | None | $100.00 | $125.89 | $199.53 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $16.98 | $16.98 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $13.80 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None (both parts) | $34.67 | $34.67 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 26 · Professional part | $16.22 | $16.22 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | TC · Technical part | $18.20 | $18.20 | $24.55 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $20.42 | $33.11 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $13.80 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $19.50 Typical High $25.12 | Professional | TC · Technical part | $10.47 | $19.50 | $25.12 |
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 $16.98 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $16.98 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $6.76 | $12.30 | $12.30 |
Where Rhode Island sits
The same service costs 3.4 times more in Alaska than in New York. 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· 21st of 51
$36.31
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.