How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $302.00 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $302.00 | $302.00 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 26 · Professional part | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $60.26 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $199.53 | $407.38 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $1,584.89 | Professional | None (both parts) | $436.52 | $457.09 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $323.59 | $660.69 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $144.54 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $213.80 | $512.86 | $512.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $114.82 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $114.82 | $363.08 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $1,412.54 | Professional | None (both parts) | $309.03 | $537.03 | $1,412.54 |
1 more rate 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 $151.36 Median $151.36 Typical High $251.19 | Professional | 52 · Reduced service | $151.36 | $151.36 | $251.19 |
Where Vermont sits
The same service costs 6.5 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.
Vermont· 23rd of 51
$447
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.