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 $169.82 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $169.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $144.54 | $144.54 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $223.87 Median $257.04 Typical High $602.56 | Facility | None | $223.87 | $257.04 | $602.56 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $109.65 | $144.54 | $204.17 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $72.44 | $91.20 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $51.29 | $61.66 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $575.44 | Facility | None | $295.12 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $125.89 | $125.89 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $63.10 | $128.82 |
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 $190.55 Typical High $234.42 | Professional | None (both parts) | $117.49 | $190.55 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $70.79 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $109.65 | $128.82 |
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 $89.13 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $44.67 | $44.67 |
Where Rhode Island sits
The same service costs 4.6 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· 19th of 51
$178
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.