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 $75.86 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | TC · Technical part | $39.81 | $39.81 | $42.66 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $707.95 | Facility | None | $363.08 | $549.54 | $707.95 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $51.29 | $72.44 | $72.44 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $30.90 | $30.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $100.00 | $120.23 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $52.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $58.88 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $53.70 | $63.10 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $29.51 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $31.62 | $48.98 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Where Rhode Island sits
The same service costs 3.6 times more in Minnesota than in Texas. 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
$75.86
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.