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 $18.62 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.00 Typical High $10.00 | Professional | TC · Technical part | $9.12 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $23.99 | $35.48 | $35.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $17.78 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $18.20 Typical High $18.20 | Professional | TC · Technical part | $12.02 | $18.20 | $18.20 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $57.54 | Professional | None (both parts) | $21.88 | $26.92 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $16.60 Median $22.91 Typical High $33.11 | Professional | None (both parts) | $16.60 | $22.91 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $12.02 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $10.96 Typical High $16.22 | Professional | TC · Technical part | $7.76 | $10.96 | $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 $9.33 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.33 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.72 | $3.89 | $3.89 |
Where Vermont sits
The same service costs 2.7 times more in Minnesota 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· 11th of 51
$27.54
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.