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 $100.00 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $61.66 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $125.89 | $138.04 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $48.98 | $54.95 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $91.20 | Professional | TC · Technical part | $75.86 | $83.18 | $91.20 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $676.08 | Professional | None (both parts) | $89.13 | $89.13 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $354.81 Typical High $1,071.52 | Professional | None (both parts) | $100.00 | $354.81 | $1,071.52 |
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 $50.12 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $50.12 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.95 | $21.38 | $21.38 |
Where Vermont sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$138
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.