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 $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $218.78 | Facility | None | $69.18 | $123.03 | $218.78 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $52.48 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $52.48 | $75.86 | $75.86 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $16.98 | $23.99 | $23.99 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $35.48 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $104.71 | $131.83 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $42.66 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $72.44 | $91.20 | $91.20 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $69.18 | $81.28 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $25.12 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $47.86 | $56.23 | $83.18 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Rhode Island sits
The same service costs 4.9 times more in Nebraska 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· 16th of 51
$93.33
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.