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 $39.81 Median $46.77 Typical High $52.48 | Professional | None (both parts) | $39.81 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $15.14 | Professional | 26 · Professional part | $11.22 | $13.49 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $28.18 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $52.48 | $63.10 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $15.14 | $16.98 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $38.02 | $46.77 | $46.77 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $104.71 | Professional | None (both parts) | $45.71 | $56.23 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $37.15 | $57.54 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $18.20 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $39.81 | $58.88 |
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 $19.05 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $9.33 | $9.33 |
Where Vermont sits
The same service costs 2.9 times more in Alaska 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· 14th of 51
$61.66
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.