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 $64.57 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $12.30 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $52.48 | $60.26 | $60.26 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $100.00 Median $724.44 Typical High $891.25 | Facility | None | $100.00 | $724.44 | $891.25 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | None (both parts) | $60.26 | $60.26 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $40.74 | $70.79 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $8.91 | $8.91 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $33.11 | $61.66 | $61.66 |
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 $32.36 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Where Rhode Island sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 9th of 51
$61.66
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.