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 $741.31 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $741.31 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $158.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $660.69 | $724.44 | $724.44 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,513.56 | Facility | None | $794.33 | $1,122.02 | $1,513.56 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $204.17 | $229.09 | $269.15 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $147.91 | $190.55 |
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 $389.05 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $389.05 | $512.86 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $194.98 | $257.04 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $229.09 | $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 $346.74 Median $446.68 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $446.68 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $128.82 | $181.97 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $199.53 | $436.52 | $831.76 |
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 $389.05 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $389.05 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $154.88 | $158.49 | $158.49 |
Where Rhode Island sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 21st of 51
$513
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.