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 $144.54 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $19.50 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $123.03 | $151.36 |
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 $114.82 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $114.82 | $151.36 | $263.03 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $19.50 | $25.70 | $28.18 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $575.44 | Facility | None | $323.59 | $512.86 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $138.04 | $138.04 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $25.12 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $112.20 | $213.80 |
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 $117.49 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $117.49 | $158.49 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $22.39 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $141.25 | $190.55 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
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· 33rd of 51
$145
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.