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 $107.15 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $14.13 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $93.33 | $102.33 | $102.33 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $512.86 | Facility | None | $239.88 | $302.00 | $512.86 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $147.91 | $158.49 | $158.49 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $12.30 | $17.38 | $17.38 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $100.00 | $138.04 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $213.80 | $234.42 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $27.54 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $190.55 | $208.93 | $208.93 |
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 $67.61 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $67.61 | $93.33 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $19.05 | Professional | 26 · Professional part | $13.18 | $13.18 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $81.28 | $107.15 |
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 $53.70 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $23.99 | $23.99 |
Where Rhode Island sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 30th of 51
$120
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.