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 $42.66 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $26.30 | $28.84 | $28.84 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $47.86 Median $117.49 Typical High $138.04 | Facility | None | $47.86 | $117.49 | $138.04 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $26.92 | $38.02 | $38.02 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $10.23 | $14.79 | $14.79 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $16.22 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | None (both parts) | $58.88 | $58.88 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $20.42 | $25.12 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | TC · Technical part | $34.67 | $34.67 | $36.31 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $28.84 | $40.74 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $16.22 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $23.44 | $45.71 |
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 $21.38 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.71 | $8.91 | $8.91 |
Where Rhode Island sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 20th of 51
$44.67
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.