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 $117.49 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $117.49 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $32.36 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $79.43 | $120.23 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $281.84 | Facility | None | $131.83 | $251.19 | $281.84 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $134.90 | $181.97 | $346.74 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $30.90 | $37.15 | $45.71 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $575.44 Typical High $691.83 | Facility | None | $323.59 | $575.44 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $177.83 | $177.83 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $26.92 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $151.36 | $281.84 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $147.91 | $204.17 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $36.31 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $173.78 | $245.47 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where Rhode Island sits
The same service costs 3.5 times more in Alaska 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· 32nd of 51
$178
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.