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 $144.54 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $144.54 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $57.54 | $57.54 | $85.11 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $186.21 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $147.91 | $223.87 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $104.71 | $114.82 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $109.65 | $123.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $190.55 | $234.42 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $158.49 | $245.47 | $537.03 |
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 $72.44 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $72.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $29.51 | $34.67 |
Where Vermont sits
The same service costs 3.9 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
$219
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.