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 Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $467.74 | Facility | None | $380.19 | $389.05 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $32.36 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $9.33 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $38.90 | Professional | TC · Technical part | $24.55 | $30.20 | $38.90 |
BCBS Vermont Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $371.54 | Facility | None | $173.78 | $223.87 | $371.54 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $48.98 | $57.54 | $57.54 |
BCBS Vermont Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $19.05 | $20.89 | $20.89 |
BCBS Vermont Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $39.81 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None (both parts) | $38.90 | $38.90 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $9.77 | $11.22 | $11.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | TC · Technical part | $27.54 | $27.54 | $30.90 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $36.31 | $50.12 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $50.12 Typical High $56.23 | Professional | None (both parts) | $32.36 | $50.12 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $12.02 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $38.90 Typical High $39.81 | Professional | TC · Technical part | $24.55 | $38.90 | $39.81 |
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 $15.49 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $15.49 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.31 | $7.94 | $7.94 |
Where Vermont sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 18th of 51
$40.74
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.