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 $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $30.90 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $436.52 | Facility | None | $204.17 | $245.47 | $436.52 |
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 $38.02 | Professional | 26 · Professional part | $19.50 | $27.54 | $38.02 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $95.50 | $138.04 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $165.96 | $165.96 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $25.70 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $141.25 | $141.25 | $234.42 |
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 $141.25 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $141.25 | $173.78 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $144.54 | $229.09 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where Rhode Island sits
The same service costs 3.8 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· 22nd of 51
$174
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.