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 $14.45 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 26 · Professional part | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | TC · Technical part | $8.13 | $8.13 | $8.13 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $398.11 | Facility | None | $56.23 | $83.18 | $398.11 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $15.14 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $15.14 | $21.88 | $21.88 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $6.92 | $8.32 | $9.77 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.23 Typical High $12.02 | Professional | TC · Technical part | $8.32 | $10.23 | $12.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $20.42 Typical High $32.36 | Professional | None (both parts) | $17.38 | $20.42 | $32.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $7.76 | $8.91 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.48 Typical High $18.20 | Professional | TC · Technical part | $9.55 | $11.48 | $18.20 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Where Rhode Island sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 49th of 51
$17.78
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.