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 $75.86 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $75.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $426.58 | Facility | None | $199.53 | $245.47 | $426.58 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $58.88 | $77.62 | $91.20 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $53.70 | $61.66 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $24.55 Typical High $26.92 | Professional | TC · Technical part | $16.98 | $24.55 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $97.72 | $117.49 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $66.07 | $81.28 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $38.02 | Professional | TC · Technical part | $33.11 | $37.15 | $38.02 |
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 $60.26 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $60.26 | $72.44 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $52.48 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $22.39 | $32.36 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Where Rhode Island sits
The same service costs 3.9 times more in Alaska 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· 18th of 51
$81.28
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.