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 $1,071.52 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,071.52 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $870.96 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,412.54 Typical High $1,819.70 | Professional | None (both parts) | $1,318.26 | $1,412.54 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $281.84 Typical High $354.81 | Professional | 26 · Professional part | $269.15 | $281.84 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,122.02 Typical High $1,258.93 | Professional | TC · Technical part | $1,071.52 | $1,122.02 | $1,258.93 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $4,786.30 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $2,454.71 Typical High $7,413.10 | Professional | None (both parts) | $831.76 | $2,454.71 | $7,413.10 |
4 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 $537.03 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $162.18 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $107.15 | $114.82 | $114.82 |
Where Vermont sits
The same service costs 11.2 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· 15th of 51
$1,413
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.