How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $323.59 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $323.59 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $44.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $275.42 | $281.84 | $331.13 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $389.05 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $407.38 | $537.03 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $64.57 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $346.74 | $478.63 | $478.63 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $194.98 Median $478.63 Typical High $501.19 | Professional | None (both parts) | $194.98 | $478.63 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $1,513.56 | Professional | None (both parts) | $446.68 | $501.19 | $1,513.56 |
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 $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $66.07 | $74.13 |
Where Vermont sits
The same service costs 3.0 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· 19th of 51
$468
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.