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 $112.20 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $112.20 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $56.23 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $109.65 | $109.65 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $676.08 | Facility | None | $295.12 | $549.54 | $676.08 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $117.49 | $158.49 | $208.93 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $41.69 | $77.62 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $100.00 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $131.83 | $131.83 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $42.66 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $89.13 | $165.96 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $100.00 | $131.83 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $47.86 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $87.10 | $120.23 |
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 $56.23 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $33.11 | $33.11 |
Where Rhode Island sits
The same service costs 3.2 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· 23rd of 51
$158
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.