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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $269.15 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $173.78 Typical High $199.53 | Professional | 26 · Professional part | $158.49 | $173.78 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $120.23 | Professional | TC · Technical part | $107.15 | $117.49 | $120.23 |
BCBS Vermont Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,388.44 | Facility | None | $2,754.23 | $2,754.23 | $3,388.44 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None (both parts) | $630.96 | $630.96 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $338.84 | $346.74 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $275.42 | Professional | 26 · Professional part | $204.17 | $223.87 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $128.82 | $169.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $263.03 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $1,122.02 | Professional | None (both parts) | $316.23 | $398.11 | $1,122.02 |
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 $134.90 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $134.90 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $53.70 | $57.54 | $57.54 |
Where Vermont sits
The same service costs 3.3 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· 13th of 51
$347
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.