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 Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $977.24 | Facility | None | $616.60 | $616.60 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $120.23 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 26 · Professional part | $66.07 | $72.44 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $63.10 | Professional | TC · Technical part | $54.95 | $57.54 | $63.10 |
BCBS Vermont Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,148.15 | Facility | None | $912.01 | $912.01 | $1,148.15 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | None (both parts) | $281.84 | $281.84 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $158.49 | $158.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $93.33 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $66.07 | $85.11 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $117.49 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $501.19 | Professional | None (both parts) | $144.54 | $177.83 | $501.19 |
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 $60.26 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Where Vermont sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 12th of 51
$162
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.