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 $1,659.59 Median $1,659.59 Typical High $1,949.84 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $316.23 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $389.05 | Professional | 53 · Discontinued | $331.13 | $331.13 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,621.81 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,621.81 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,187.76 Typical High $6,456.54 | Professional | None (both parts) | $2,137.96 | $2,187.76 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,511.89 Typical High $3,235.94 | Professional | None (both parts) | $1,584.89 | $2,511.89 | $3,235.94 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $467.74 Typical High $575.44 | Professional | 26 · Professional part | $416.87 | $467.74 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $2,041.74 Typical High $2,137.96 | Professional | TC · Technical part | $1,174.90 | $2,041.74 | $2,137.96 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $323.59 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $323.59 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,691.53 Typical High $6,165.95 | Professional | None (both parts) | $1,778.28 | $2,691.53 | $6,165.95 |
1 more rate 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 $831.76 Median $831.76 Typical High $977.24 | Professional | 52 · Reduced service | $831.76 | $831.76 | $977.24 |
Where Vermont sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$2,512
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.