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 Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $5,495.41 | Facility | None | $3,715.35 | $3,981.07 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $416.87 | $602.56 | $602.56 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $147.91 | $177.83 | $208.93 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $331.13 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $331.13 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $691.83 | $912.01 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $281.84 | $363.08 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $416.87 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $6,456.54 | Facility | None | $436.52 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $446.68 | $575.44 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $173.78 | $229.09 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $275.42 | $346.74 | $478.63 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Where Rhode Island sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 20th of 51
$603
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.