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 $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $29.51 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $724.44 | Facility | None | $302.00 | $416.87 | $724.44 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $131.83 | $177.83 | $194.98 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $18.62 | $26.30 | $30.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $104.71 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $158.49 | $158.49 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $26.92 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $131.83 | $223.87 |
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 $72.44 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $72.44 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $33.88 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $38.02 | $102.33 | $186.21 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Rhode Island sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 24th of 51
$178
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.