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 $48.98 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $48.98 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $10.96 | Professional | 26 · Professional part | $7.94 | $9.77 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $41.69 | $44.67 | $60.26 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $58.88 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $56.23 | $64.57 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $9.33 | $10.23 | $10.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $47.86 | $54.95 | $54.95 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $52.48 | $77.62 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $50.12 | $75.86 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.59 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $12.59 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $63.10 | $63.10 |
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 $24.55 Median $26.92 Typical High $35.48 | Professional | 52 · Reduced service | $24.55 | $26.92 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $10.72 | $14.13 |
Where Vermont sits
The same service costs 3.5 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
$64.57
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.