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 $56.23 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $56.23 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $14.45 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $95.50 | $109.65 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $295.12 | Facility | None | $151.36 | $239.88 | $295.12 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $114.82 | $151.36 | $263.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $18.62 | $22.91 | $26.92 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $154.88 | $190.55 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $46.77 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $144.54 | $234.42 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $53.70 | $131.83 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $53.70 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $93.33 | $169.82 |
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 $28.18 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $28.18 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $11.22 | $28.18 | $29.51 |
Where Rhode Island sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 26th of 51
$148
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.