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 $14.45 Median $21.38 Typical High $40.74 | Professional | None (both parts) | $14.45 | $21.38 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $14.79 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.40 Median $4.27 Typical High $26.30 | Professional | TC · Technical part | $2.40 | $4.27 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | TC · Technical part | $3.89 | $3.89 | $3.89 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $16.98 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $16.98 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $25.12 Typical High $60.26 | Professional | None (both parts) | $18.20 | $25.12 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $19.50 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $4.37 Typical High $16.22 | Professional | TC · Technical part | $3.31 | $4.37 | $16.22 |
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 $7.24 Median $10.47 Typical High $20.42 | Professional | 52 · Reduced service | $7.24 | $10.47 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $4.27 Typical High $8.32 | Professional | 53 · Discontinued | $2.88 | $4.27 | $8.32 |
Where Vermont sits
The same service costs 2.5 times more in California than in Texas. 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· 32nd of 51
$19.50
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.