How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $407.38 | Professional | None (both parts) | $331.13 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $60.26 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $338.84 | Professional | TC · Technical part | $275.42 | $295.12 | $338.84 |
BCBS Vermont Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $1,318.26 | Facility | None | $501.19 | $524.81 | $1,318.26 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,288.25 | Professional | None (both parts) | $436.52 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $263.03 | $501.19 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $97.72 | Professional | 26 · Professional part | $70.79 | $79.43 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $426.58 | $426.58 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $151.36 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $1,122.02 | Professional | None (both parts) | $288.40 | $467.74 | $1,122.02 |
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 $165.96 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $165.96 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $70.79 | $77.62 |
Where Vermont sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 16th of 51
$468
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.