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 $47.86 Median $47.86 Typical High $97.72 | Professional | None (both parts) | $47.86 | $47.86 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $30.20 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $83.18 | $131.83 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $44.67 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $33.11 | $51.29 | $79.43 |
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 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $14.45 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $9.77 |
Where Vermont sits
The same service costs 4.4 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· 15th of 51
$151
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.