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 $269.15 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $269.15 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $107.15 | $134.90 | $134.90 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $162.18 Median $851.14 Typical High $1,148.15 | Facility | None | $162.18 | $851.14 | $1,148.15 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $181.97 | $239.88 | $316.23 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $177.83 | Professional | 26 · Professional part | $107.15 | $154.88 | $177.83 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $263.03 | $263.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | 26 · Professional part | $162.18 | $162.18 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $102.33 | $190.55 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $251.19 | $309.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $151.36 | $186.21 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $123.03 | $181.97 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Where Rhode Island sits
The same service costs 3.3 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
$295
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.