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 $371.54 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $371.54 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $57.54 | $67.61 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $302.00 | $436.52 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $707.95 | Facility | None | $346.74 | $549.54 | $707.95 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $295.12 | $389.05 | $457.09 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $54.95 | $64.57 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $234.42 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $398.11 | $398.11 | $776.25 |
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 $346.74 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $346.74 | $346.74 | $645.65 |
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 $194.98 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $194.98 | $338.84 | $645.65 |
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 $131.83 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $131.83 | $281.84 | $549.54 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Where Rhode Island sits
The same service costs 3.0 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· 33rd of 51
$389
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.