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 $131.83 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $18.62 | $21.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $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 $50.12 Median $66.07 Typical High $151.36 | Professional | None (both parts) | $50.12 | $66.07 | $151.36 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $17.78 | $20.42 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $33.88 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | None (both parts) | $69.18 | $69.18 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $19.05 | $19.05 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $50.12 | $102.33 |
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 $61.66 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $61.66 | $104.71 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $21.38 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $83.18 | $107.15 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Rhode Island sits
The same service costs 3.2 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· 30th of 51
$83.18
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.