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 $234.42 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $234.42 | $234.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $35.48 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $194.98 | $194.98 | $316.23 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $602.56 | Facility | None | $281.84 | $501.19 | $602.56 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $223.87 | $295.12 | $407.38 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $45.71 | $57.54 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $173.78 | $213.80 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,148.15 | Facility | None | $660.69 | $1,071.52 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $269.15 | $269.15 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $40.74 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $229.09 | $416.87 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $223.87 | $309.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $199.53 | $275.42 | $380.19 |
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 $117.49 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Where Rhode Island sits
The same service costs 3.2 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
$269
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.