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 $83.18 Typical High $85.11 | Professional | None (both parts) | $81.28 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $30.90 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $16.22 | $16.60 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $48.98 | $48.98 | $54.95 |
BCBS Vermont Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $138.04 | Facility | None | $131.83 | $131.83 | $138.04 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $302.00 | Professional | None (both parts) | $89.13 | $91.20 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $81.28 | $114.82 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $44.67 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $72.44 | $72.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $89.13 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $85.11 | $117.49 | $269.15 |
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 $40.74 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $40.74 | $40.74 | $42.66 |
Where Vermont sits
The same service costs 3.0 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· 16th of 51
$107
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.