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 $74.13 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $74.13 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $26.30 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $51.29 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $91.20 | $93.33 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $28.84 | $30.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $64.57 | Professional | TC · Technical part | $61.66 | $63.10 | $64.57 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $77.62 | $107.15 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $70.79 | $109.65 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $33.11 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $75.86 | $112.20 |
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 $35.48 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $35.48 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.45 | $16.60 | $16.60 |
Where Vermont sits
The same service costs 4.9 times more in Nebraska 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· 17th of 51
$93.33
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.