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 $169.82 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $123.03 | $151.36 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,513.56 | Facility | None | $776.25 | $1,071.52 | $1,513.56 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $138.04 | $181.97 | $251.19 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $41.69 | $51.29 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $120.23 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $190.55 | $331.13 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $74.13 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $162.18 | $257.04 | $257.04 |
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 $138.04 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $138.04 | $169.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $48.98 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $131.83 | $218.78 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Rhode Island sits
The same service costs 3.0 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· 29th of 51
$182
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.