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 $36.31 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $36.31 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $9.12 | $9.77 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $26.92 | $27.54 | $34.67 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $66.07 | Facility | None | $51.29 | $57.54 | $66.07 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $22.39 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $22.39 | $29.51 | $48.98 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.32 Typical High $10.23 | Professional | 26 · Professional part | $5.75 | $8.32 | $10.23 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $21.38 | Professional | TC · Technical part | $14.79 | $18.20 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $56.23 | Professional | None (both parts) | $38.90 | $53.70 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $14.45 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $40.74 | Professional | TC · Technical part | $33.88 | $38.90 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $26.92 | $50.12 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $10.23 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $34.67 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $34.67 | $57.54 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Rhode Island sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 19th of 51
$42.66
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.