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 $81.28 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $81.28 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $17.78 | $19.50 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $128.82 | $128.82 |
BCBS Vermont Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Facility | None | $977.24 | $977.24 | $1,174.90 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $134.90 | $138.04 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $95.50 | $95.50 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $23.44 | $26.30 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $69.18 | $147.91 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $66.07 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $66.07 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $83.18 | $131.83 | $208.93 |
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 $39.81 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $39.81 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $16.22 | $29.51 | $29.51 |
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· 5th of 51
$138
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.