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 $69.18 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $69.18 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $47.86 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $32.36 | $39.81 | $56.23 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $131.83 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $83.18 | $107.15 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $81.28 | $120.23 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $41.69 | $63.10 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $57.54 | $64.57 |
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 $34.67 Median $43.65 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $22.39 | Professional | 53 · Discontinued | $13.80 | $17.38 | $22.39 |
Where Vermont sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$105
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.