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 $91.20 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $91.20 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $17.78 | Professional | 26 · Professional part | $12.59 | $15.85 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $79.43 | $89.13 | $114.82 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $125.89 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $141.25 | $144.54 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $125.89 | $128.82 | $128.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $125.89 | $144.54 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $112.20 | $158.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $20.42 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $138.04 | $186.21 |
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 $45.71 Median $52.48 Typical High $69.18 | Professional | 52 · Reduced service | $45.71 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.89 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $20.89 | $27.54 |
Where Vermont sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 14th of 51
$145
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.