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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $100.00 | $112.20 | $112.20 |
BCBS Vermont Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $562.34 | Facility | None | $446.68 | $446.68 | $562.34 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $208.93 | $213.80 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $141.25 | $169.82 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $63.10 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $107.15 | $162.18 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $53.70 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $53.70 | $288.40 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $147.91 | $181.97 | $407.38 |
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 $75.86 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $30.20 | $32.36 | $32.36 |
Where Vermont sits
The same service costs 3.2 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
$170
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.