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 Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $117.49 | Facility | None | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $69.18 | $69.18 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $44.67 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $47.86 | Professional | TC · Technical part | $23.99 | $23.99 | $47.86 |
BCBS Vermont Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $81.28 | $81.28 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $95.50 | $173.78 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $79.43 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $91.20 | $91.20 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $81.28 | $131.83 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $66.07 | $102.33 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $54.95 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $30.20 | $46.77 | $85.11 |
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 $38.90 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.49 |
Where Vermont sits
The same service costs 3.4 times more in Alaska than in New York. 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· 16th of 51
$105
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.