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 $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $154.88 | $251.19 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $120.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $131.83 | $131.83 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $151.36 | $177.83 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $112.20 | $154.88 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $81.28 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $74.13 | $117.49 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $25.70 | $26.30 | $26.30 |
Where Vermont sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 11th of 51
$186
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.