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 $338.84 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $338.84 | $363.08 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $54.95 | $60.26 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $302.00 | $467.74 |
BCBS Vermont Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $1,318.26 | Facility | None | $575.44 | $630.96 | $1,318.26 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $1,621.81 | Professional | None (both parts) | $467.74 | $467.74 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $660.69 Typical High $794.33 | Professional | None (both parts) | $257.04 | $660.69 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $70.79 | $79.43 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $199.53 | $575.44 | $575.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $104.71 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $104.71 | $562.34 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $251.19 | $616.60 | $1,479.11 |
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 $181.97 Median $181.97 Typical High $229.09 | Professional | 52 · Reduced service | $181.97 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | 53 · Discontinued | $72.44 | $72.44 | $91.20 |
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· 16th of 51
$575
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.