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 $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $1,202.26 | Facility | None | $371.54 | $977.24 | $1,202.26 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $0.02 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $0.02 | $288.40 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $489.78 | $562.34 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $190.55 | $229.09 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $309.03 | $338.84 | $338.84 |
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 $257.04 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $257.04 | $302.00 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $112.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $181.97 | $257.04 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Rhode Island sits
The same service costs 9.8 times more in Alaska than in New York. 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· 33rd of 51
$295
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.