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 $512.86 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $512.86 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $309.03 | $338.84 | $338.84 |
BCBS Vermont Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,951.21 | Facility | None | $2,344.23 | $2,344.23 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $660.69 | $933.25 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $257.04 | $363.08 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $398.11 | $562.34 | $562.34 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $489.78 | $660.69 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $251.19 Typical High $354.81 | Professional | 26 · Professional part | $186.21 | $251.19 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $630.96 | Professional | TC · Technical part | $302.00 | $407.38 | $630.96 |
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 $257.04 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $257.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $102.33 | $109.65 | $109.65 |
Where Vermont sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 7th of 51
$851
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.