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 $125.89 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $125.89 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $69.18 | $81.28 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $69.18 | Professional | TC · Technical part | $60.26 | $66.07 | $69.18 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $89.13 Median $478.63 Typical High $676.08 | Facility | None | $89.13 | $478.63 | $676.08 |
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 $44.67 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $64.57 | $74.13 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $32.36 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $120.23 | $120.23 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $67.61 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $51.29 | $95.50 |
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 $114.82 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $114.82 | $138.04 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $77.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $60.26 | $95.50 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Rhode Island sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 26th of 51
$132
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.