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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $144.54 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $79.43 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $70.79 | Professional | TC · Technical part | $66.07 | $69.18 | $70.79 |
BCBS Vermont Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Facility | None | $1,380.38 | $1,380.38 | $1,659.59 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None (both parts) | $338.84 | $338.84 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $190.55 | $190.55 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $104.71 | $112.20 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $79.43 | $102.33 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $141.25 | $194.98 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $602.56 | Professional | None (both parts) | $173.78 | $213.80 | $602.56 |
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 $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Where Vermont sits
The same service costs 4.0 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· 12th of 51
$195
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.