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 $151.36 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $151.36 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $95.50 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $83.18 | Professional | TC · Technical part | $70.79 | $79.43 | $83.18 |
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 $100.00 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $100.00 | $131.83 | $169.82 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $77.62 | $87.10 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $144.54 | $144.54 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $61.66 | $117.49 |
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 $138.04 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $138.04 | $165.96 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $93.33 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $72.44 | $114.82 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where Rhode Island sits
The same service costs 4.0 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· 22nd of 51
$162
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.