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 $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $169.82 Median $724.44 Typical High $851.14 | Facility | None | $169.82 | $724.44 | $851.14 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $95.50 | $134.90 | $134.90 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $64.57 | $64.57 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $173.78 | $223.87 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $91.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $112.20 | $112.20 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $104.71 | $128.82 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $72.44 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $60.26 | $97.72 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Rhode Island sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 21st 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.