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 $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $93.33 Median $338.84 Typical High $562.34 | Facility | None | $93.33 | $338.84 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $35.48 | $51.29 | $51.29 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $9.55 | $13.80 | $13.80 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $70.79 | $77.62 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $17.78 | $23.44 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $52.48 | $53.70 | $53.70 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $37.15 | $44.67 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $13.49 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $25.70 | $31.62 | $44.67 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Rhode Island sits
The same service costs 2.9 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· 21st of 51
$52.48
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.