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 $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $112.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $17,782.79 | Facility | None | $0.02 | $0.02 | $17,782.79 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $134.90 | $151.36 | $177.83 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $102.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $269.15 | $363.08 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $128.82 | $177.83 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $158.49 | $181.97 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $239.88 | $323.59 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $120.23 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $208.93 | $288.40 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Where Rhode Island sits
The same service costs 3.1 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· 14th of 51
$316
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.