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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $398.11 | $398.11 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $87.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $302.00 | $302.00 | $398.11 |
BCBS Vermont Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $1,513.56 | Facility | None | $407.38 | $426.58 | $1,513.56 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $1,584.89 | Professional | None (both parts) | $512.86 | $524.81 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $645.65 Typical High $758.58 | Professional | None (both parts) | $331.13 | $645.65 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $112.20 | $120.23 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $524.81 | $524.81 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $173.78 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $173.78 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $1,348.96 | Professional | None (both parts) | $363.08 | $588.84 | $1,348.96 |
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 $199.53 Median $199.53 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $79.43 | $100.00 |
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· 15th of 51
$589
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.