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 $70.79 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $70.79 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $33.88 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $21.38 | Professional | 53 · Discontinued | $14.45 | $14.45 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $34.67 | $74.13 |
BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Facility | None | $891.25 | $891.25 | $1,096.48 |
BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $389.05 | Professional | None (both parts) | $107.15 | $107.15 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $64.57 | $147.91 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $48.98 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $25.12 | $97.72 | $97.72 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $114.82 | $114.82 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $331.13 | Professional | None (both parts) | $69.18 | $134.90 | $331.13 |
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 $35.48 Median $35.48 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $52.48 |
Where Vermont sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 21st of 51
$115
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.