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 $288.40 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $288.40 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $112.20 | $120.23 | $120.23 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $363.08 | $416.87 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $338.84 | Professional | 26 · Professional part | $239.88 | $309.03 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $109.65 | $194.98 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $251.19 | $323.59 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $208.93 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $208.93 Typical High $295.12 | Professional | 26 · Professional part | $154.88 | $208.93 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $74.13 | $154.88 |
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 $144.54 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $144.54 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $57.54 | $66.07 | $66.07 |
Where Vermont sits
The same service costs 3.5 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· 4th of 51
$407
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.