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 $741.31 Median $741.31 Typical High $977.24 | Facility | None | $741.31 | $741.31 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $323.59 | $323.59 | $446.68 |
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 $251.19 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $263.03 | $380.19 |
BCBS Vermont Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,148.15 | Facility | None | $575.44 | $645.65 | $1,148.15 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | None (both parts) | $398.11 | $398.11 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $562.34 Typical High $676.08 | Professional | None (both parts) | $239.88 | $562.34 | $676.08 |
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 $181.97 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $478.63 | $478.63 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $134.90 Median $501.19 Typical High $524.81 | Professional | None (both parts) | $134.90 | $501.19 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $524.81 Typical High $1,230.27 | Professional | None (both parts) | $269.15 | $524.81 | $1,230.27 |
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 $162.18 Median $162.18 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | 53 · Discontinued | $64.57 | $64.57 | $77.62 |
Where Vermont sits
The same service costs 3.0 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· 14th of 51
$513
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.