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 $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $74.13 | Professional | TC · Technical part | $52.48 | $52.48 | $74.13 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $295.12 | Facility | None | $162.18 | $239.88 | $295.12 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $83.18 | $109.65 | $144.54 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $48.98 | $57.54 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $42.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $120.23 | $120.23 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $52.48 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $67.61 | $128.82 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $97.72 | $109.65 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $63.10 | $120.23 |
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 $57.54 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.99 |
Where Rhode Island sits
The same service costs 3.9 times more in Alaska than in Texas. 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
$115
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.