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 $309.03 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $309.03 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $194.98 | $194.98 | $323.59 |
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 $245.47 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $245.47 | $323.59 | $562.34 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $66.07 | $131.83 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $181.97 | $218.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,148.15 | Facility | None | $660.69 | $1,096.48 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $295.12 | $295.12 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $58.88 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $234.42 | $234.42 | $446.68 |
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 $257.04 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $257.04 | $398.11 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $95.50 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $295.12 | $389.05 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Rhode Island sits
The same service costs 3.3 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· 34th of 51
$309
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.