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 $38.02 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $38.02 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $13.80 | $16.22 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $26.30 | $37.15 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $51.29 | $60.26 | $60.26 |
BCBS Vermont Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $27.54 | $32.36 | $32.36 |
BCBS Vermont Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $28.18 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $44.67 | $56.23 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $17.78 | $19.95 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $27.54 | $35.48 | $35.48 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $40.74 | $54.95 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $81.28 | Professional | None (both parts) | $35.48 | $54.95 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $20.89 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $34.67 | $51.29 |
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 $18.20 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.51 Typical High $8.91 | Professional | 53 · Discontinued | $7.24 | $8.51 | $8.91 |
Where Vermont sits
The same service costs 2.7 times more in Minnesota 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· 13th of 51
$54.95
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.