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 $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | TC · Technical part | $11.22 | $11.22 | $11.22 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $72.44 | Facility | None | $51.29 | $60.26 | $72.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $13.80 | $19.50 | $19.50 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $6.61 | $9.55 | $9.55 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $10.00 Typical High $10.00 | Professional | TC · Technical part | $7.08 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $25.12 | $33.11 | $33.11 |
Cigna 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 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $16.22 Typical High $16.60 | Professional | TC · Technical part | $12.88 | $16.22 | $16.60 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $20.89 Typical High $28.84 | Professional | None (both parts) | $15.49 | $20.89 | $28.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $10.72 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.47 Typical High $15.14 | Professional | TC · Technical part | $7.41 | $10.47 | $15.14 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Where Rhode Island sits
The same service costs 2.7 times more in Minnesota 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· 18th of 51
$21.88
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.