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 $165.96 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $83.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $66.07 | $95.50 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $316.23 | Facility | None | $162.18 | $239.88 | $316.23 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $114.82 | $154.88 | $208.93 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $79.43 | $91.20 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $52.48 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $173.78 | $173.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $83.18 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $89.13 | $165.96 |
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 $123.03 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $123.03 | $158.49 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $79.43 | $93.33 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $30.90 | $81.28 | $158.49 |
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 $83.18 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.88 |
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
$166
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.