How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $69.18 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $69.18 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $43.65 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $25.12 | $25.12 | $34.67 |
BCBS Vermont Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $50.12 | Facility | None | $30.90 | $33.11 | $50.12 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $257.04 | Professional | None (both parts) | $74.13 | $74.13 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $83.18 | $154.88 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $77.62 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $87.10 | $117.49 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $69.18 | $93.33 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $53.70 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $40.74 | $70.79 |
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 $34.67 Median $34.67 Typical High $36.31 | Professional | 52 · Reduced service | $34.67 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.45 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.45 |
Where Vermont sits
The same service costs 3.3 times more in Alaska 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· 12th of 51
$97.72
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.