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 $181.97 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $181.97 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $158.49 | $190.55 | $190.55 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $426.58 | Facility | None | $223.87 | $302.00 | $426.58 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $123.03 | $162.18 | $234.42 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $18.20 | $25.70 | $32.36 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $645.65 | Facility | None | $371.54 | $549.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $141.25 | $141.25 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $23.44 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $117.49 | $229.09 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $123.03 | $186.21 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $26.30 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $162.18 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $162.18 | $199.53 |
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 $100.00 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $100.00 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $43.65 | $43.65 |
Where Rhode Island sits
The same service costs 3.3 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· 21st 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.