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 $120.23 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | TC · Technical part | $54.95 | $54.95 | $77.62 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $512.86 | Professional | None (both parts) | $151.36 | $158.49 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $117.49 | $181.97 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $79.43 | $87.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $93.33 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $93.33 | $100.00 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $158.49 | $181.97 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $128.82 | $204.17 | $457.09 |
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 $60.26 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $60.26 | $69.18 |
Where Vermont sits
The same service costs 4.6 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
$182
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.