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 $13.80 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $13.80 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1.32 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $1.32 | $29.51 | $29.51 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $707.95 | Facility | None | $134.90 | $281.84 | $707.95 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $15.85 | $15.85 |
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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | None (both parts) | $31.62 | $31.62 | $34.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $24.55 | $24.55 |
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 $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 $14.45 Median $28.84 Typical High $33.11 | Professional | None (both parts) | $14.45 | $28.84 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $10.72 | $11.75 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.79 Typical High $22.39 | Professional | TC · Technical part | $2.75 | $4.79 | $22.39 |
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 $6.92 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $6.92 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $2.75 | $8.71 | $8.71 |
Where Rhode Island sits
The same service costs 2.6 times more in California 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· 3rd of 51
$31.62
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.