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 $398.11 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $398.11 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | TC · Technical part | $338.84 | $338.84 | $380.19 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $707.95 | Facility | None | $354.81 | $549.54 | $707.95 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $263.03 | $346.74 | $489.78 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $54.95 | $63.10 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $204.17 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $363.08 | $363.08 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $309.03 | $309.03 | $575.44 |
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 $208.93 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $208.93 | $302.00 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $64.57 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $263.03 | $478.63 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Where Rhode Island sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 30th of 51
$363
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.