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 $501.19 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $501.19 | $501.19 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | 53 · Discontinued | $100.00 | $100.00 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $269.15 | $436.52 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $2,454.71 | Professional | None (both parts) | $630.96 | $630.96 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,023.29 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $1,023.29 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $281.84 | $316.23 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $707.95 | $707.95 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $478.63 Median $794.33 Typical High $954.99 | Professional | None (both parts) | $478.63 | $794.33 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $831.76 Typical High $1,862.09 | Professional | None (both parts) | $426.58 | $831.76 | $1,862.09 |
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 $251.19 Median $251.19 Typical High $338.84 | Professional | 52 · Reduced service | $251.19 | $251.19 | $338.84 |
Where Vermont sits
The same service costs 3.2 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· 17th of 51
$776
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.