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 $151.36 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $151.36 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $26.92 | $28.18 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $123.03 | $123.03 | $169.82 |
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 $112.20 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $112.20 | $147.91 | $190.55 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $25.70 | $33.11 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $85.11 | $104.71 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $575.44 | Facility | None | $323.59 | $501.19 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $131.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $22.91 | $22.91 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $109.65 | $204.17 |
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 $114.82 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $114.82 | $169.82 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $25.70 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $95.50 | $144.54 | $177.83 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Where Rhode Island sits
The same service costs 4.0 times more in Minnesota 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· 23rd of 51
$151
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.