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 $138.04 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $16.22 | $16.22 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $123.03 | $123.03 | $141.25 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $389.05 | Facility | None | $169.82 | $223.87 | $389.05 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $19.50 | $27.54 | $27.54 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $575.44 Typical High $645.65 | Facility | None | $323.59 | $575.44 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $162.18 | $162.18 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $25.12 | $25.12 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | TC · Technical part | $138.04 | $138.04 | $165.96 |
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 $144.54 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $144.54 | $173.78 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $12.88 | $23.44 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $120.23 | $147.91 | $208.93 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Where Rhode Island sits
The same service costs 3.7 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· 29th of 51
$162
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.