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 $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $47.86 | $58.88 | $58.88 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $69.18 Median $524.81 Typical High $645.65 | Facility | None | $69.18 | $524.81 | $645.65 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $239.88 | $346.74 | $346.74 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $199.53 | $288.40 | $288.40 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $524.81 | $588.84 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $398.11 | $489.78 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $257.04 | $323.59 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $223.87 | $269.15 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $165.96 | Professional | TC · Technical part | $35.48 | $44.67 | $165.96 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $74.13 | $75.86 | $75.86 |
Where Rhode Island sits
The same service costs 3.3 times more in Minnesota 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· 22nd of 51
$372
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.