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 $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $48.98 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $27.54 | $27.54 | $27.54 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $131.83 | Facility | None | $61.66 | $77.62 | $131.83 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $64.57 | $93.33 | $93.33 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $42.66 | $42.66 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $34.67 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $123.03 | $169.82 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $77.62 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $63.10 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $66.07 | $74.13 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $42.66 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $31.62 | $58.88 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where Rhode Island sits
The same service costs 3.4 times more in Alaska than in New York. 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· 35th of 51
$77.62
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.