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 $54.95 Median $64.57 Typical High $66.07 | Professional | None (both parts) | $54.95 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $13.18 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $53.70 | Professional | TC · Technical part | $43.65 | $52.48 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $13.80 | $16.22 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $29.51 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $29.51 | $85.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $87.10 | Professional | None (both parts) | $52.48 | $85.11 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $18.62 | Professional | 26 · Professional part | $12.59 | $18.20 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $47.86 | $66.07 | $85.11 |
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 $27.54 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $12.88 | $13.18 |
Where Vermont sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 6th of 51
$61.66
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.