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 $81.28 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $39.81 | $64.57 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $354.81 | Facility | None | $162.18 | $302.00 | $354.81 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $75.86 | $102.33 | $112.20 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $23.44 | $33.11 | $38.90 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $112.20 | $112.20 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $77.62 | $125.89 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $54.95 | $87.10 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $40.74 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $54.95 Typical High $104.71 | Professional | TC · Technical part | $14.13 | $54.95 | $104.71 |
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 $40.74 Median $40.74 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.60 |
Where Rhode Island sits
The same service costs 3.5 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· 30th of 51
$102
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.