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 $147.91 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $147.91 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $25.12 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $123.03 | $123.03 | $177.83 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $204.17 Median $251.19 Typical High $389.05 | Facility | None | $204.17 | $251.19 | $389.05 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $123.03 | $165.96 | $234.42 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $27.54 | $36.31 |
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 $323.59 Median $575.44 Typical High $616.60 | Facility | None | $323.59 | $575.44 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $158.49 | $158.49 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $24.55 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $134.90 | $251.19 |
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 $138.04 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $138.04 | $186.21 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $25.12 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $162.18 | $223.87 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Rhode Island sits
The same service costs 3.7 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
$158
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.