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 $47.86 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $47.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $27.54 | $58.88 | $58.88 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $141.25 | Facility | None | $97.72 | $120.23 | $141.25 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $15.49 | $22.39 | $22.39 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $20.42 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $47.86 | $47.86 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 26 · Professional part | $20.89 | $20.89 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $26.92 | $26.92 | $33.11 |
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 $28.84 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $28.84 | $43.65 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $16.98 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $15.85 | $26.30 | $35.48 |
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 $23.99 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $23.99 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $9.55 | $17.38 | $17.38 |
Where Rhode Island sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 23rd of 51
$51.29
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.