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 $61.66 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $61.66 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $22.39 | Professional | 26 · Professional part | $18.20 | $21.38 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $43.65 | $44.67 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $61.66 | $125.89 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $28.18 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $97.72 | $97.72 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $83.18 | $95.50 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $64.57 | $95.50 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $26.92 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $67.61 | $123.03 |
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 $30.90 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $30.90 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.18 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $13.18 | $15.14 |
Where Vermont sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$95.50
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.