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 $112.20 Median $112.20 Typical High $295.12 | Professional | None (both parts) | $112.20 | $112.20 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $44.67 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $67.61 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $257.04 | $398.11 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $102.33 | $158.49 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $239.88 | $363.08 |
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 $56.23 Median $56.23 Typical High $147.91 | Professional | 52 · Reduced service | $56.23 | $56.23 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $58.88 | Professional | 53 · Discontinued | $22.39 | $22.39 | $58.88 |
Where Vermont sits
The same service costs 9.8 times more in Alaska than in New York. 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· 8th of 51
$447
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.