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 $57.54 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $9.12 | $10.96 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $48.98 | $51.29 | $51.29 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $234.42 | Facility | None | $100.00 | $131.83 | $234.42 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $6.92 | $10.00 | $10.00 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $37.15 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $9.12 | $9.12 | $9.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $46.77 | $47.86 | $47.86 |
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 $27.54 Median $28.84 Typical High $56.23 | Professional | None (both parts) | $27.54 | $28.84 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.61 Typical High $10.00 | Professional | 26 · Professional part | $6.46 | $6.61 | $10.00 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $23.99 | $44.67 |
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 $28.84 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $28.84 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $11.48 | $12.30 | $12.30 |
Where Rhode Island sits
The same service costs 3.5 times more in Alaska 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· 18th of 51
$57.54
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.