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 $33.88 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $33.88 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.18 | $13.80 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $19.50 | $25.12 | $25.12 |
BCBS Vermont Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $724.44 | Facility | None | $562.34 | $562.34 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $41.69 | $70.79 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $16.98 | $27.54 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $26.30 | $42.66 | $45.71 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $42.66 | $53.70 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $30.90 | $42.66 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $13.49 | $18.20 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $24.55 | $50.12 |
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 $16.98 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.76 | $7.76 | $7.76 |
Where Vermont sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 10th of 51
$60.26
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.