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 $269.15 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $77.62 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | TC · Technical part | $186.21 | $186.21 | $194.98 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,187.76 | Facility | None | $1,071.52 | $1,202.26 | $2,187.76 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $194.98 | $257.04 | $380.19 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $70.79 | $89.13 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $131.83 | $158.49 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $302.00 | $467.74 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $91.20 | $125.89 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $218.78 | $295.12 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $85.11 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $199.53 | $302.00 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Where Rhode Island sits
The same service costs 3.5 times more in Alaska 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· 26th of 51
$282
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.