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 $91.20 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $234.42 | Facility | None | $89.13 | $123.03 | $234.42 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $60.26 | $79.43 | $104.71 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $30.20 | $34.67 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $34.67 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $89.13 | $89.13 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $32.36 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $57.54 | $107.15 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $67.61 | $75.86 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $35.48 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $48.98 Typical High $89.13 | Professional | TC · Technical part | $33.11 | $48.98 | $89.13 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Rhode Island sits
The same service costs 3.0 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· 28th of 51
$89.13
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.