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 $56.23 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $56.23 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $41.69 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $23.99 | $25.70 | $35.48 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
BCBS Vermont Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Vermont Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $61.66 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $58.88 | $87.10 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $51.29 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $35.48 | $41.69 |
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 $28.18 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $28.18 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.49 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $13.49 | $16.22 |
Where Vermont sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 12th of 51
$75.86
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.