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 $13.18 Median $19.95 Typical High $38.90 | Professional | None (both parts) | $13.18 | $19.95 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $13.18 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $4.27 Typical High $25.12 | Professional | TC · Technical part | $2.04 | $4.27 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
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 $16.22 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $16.22 | $28.84 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.44 Typical High $56.23 | Professional | None (both parts) | $16.98 | $23.44 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $18.20 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $4.37 Typical High $15.85 | Professional | TC · Technical part | $3.31 | $4.37 | $15.85 |
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 $6.61 Median $10.00 Typical High $19.05 | Professional | 52 · Reduced service | $6.61 | $10.00 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.98 Typical High $7.76 | Professional | 53 · Discontinued | $2.63 | $3.98 | $7.76 |
Where Vermont sits
The same service costs 2.6 times more in California than in New York. 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· 27th of 51
$18.62
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.