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 $165.96 Median $173.78 Typical High $177.83 | Professional | None (both parts) | $165.96 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $27.54 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $33.11 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $138.04 | $144.54 | $151.36 |
BCBS Vermont Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,412.54 | Facility | None | $1,096.48 | $1,096.48 | $1,412.54 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $660.69 | Professional | None (both parts) | $173.78 | $181.97 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $128.82 | $223.87 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $38.90 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $100.00 | $181.97 | $181.97 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $109.65 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $512.86 | Professional | None (both parts) | $112.20 | $199.53 | $512.86 |
1 more rate 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 $81.28 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $87.10 | $87.10 |
Where Vermont sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 16th of 51
$200
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.