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 $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $478.63 Typical High $676.08 | Facility | None | $93.33 | $478.63 | $676.08 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $31.62 | $44.67 | $44.67 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $15.85 | $15.85 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $20.42 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $61.66 | $74.13 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $20.89 | $26.92 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $38.90 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $35.48 | $38.90 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $13.49 | $14.79 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $36.31 | Professional | TC · Technical part | $20.89 | $23.99 | $36.31 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Where Rhode Island sits
The same service costs 2.7 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· 21st of 51
$48.98
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.