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 $14.79 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $14.79 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $13.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1.32 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $1.32 | $30.90 | $30.90 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $354.81 | Facility | None | $134.90 | $281.84 | $354.81 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $16.98 | $16.98 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $4.37 Typical High $4.37 | Professional | TC · Technical part | $3.09 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $33.11 | $33.11 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $26.30 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | TC · Technical part | $6.92 | $6.92 | $6.92 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $30.90 Typical High $35.48 | Professional | None (both parts) | $15.49 | $30.90 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $12.02 | $12.59 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.79 Typical High $23.44 | Professional | TC · Technical part | $2.75 | $4.79 | $23.44 |
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 $7.41 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $7.41 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $2.95 | $9.33 | $9.33 |
Where Rhode Island sits
The same service costs 2.5 times more in California than in Texas. 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· 4th of 51
$33.11
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.