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 Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $81.28 | $87.10 | $91.20 |
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 $44.67 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $44.67 | $45.71 | $51.29 |
BCBS Vermont Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $199.53 | Facility | None | $154.88 | $154.88 | $199.53 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $309.03 | Professional | None (both parts) | $100.00 | $102.33 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $104.71 | $117.49 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $45.71 | $52.48 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $56.23 | $66.07 | $67.61 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $45.71 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $45.71 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $363.08 | Professional | None (both parts) | $109.65 | $120.23 | $363.08 |
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 $40.74 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.60 | $17.38 | $17.38 |
Where Vermont sits
The same service costs 3.0 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· 14th of 51
$117
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.