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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HO · Master's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HP · Doctoral level | $16.60 | $16.60 | $16.60 |
5 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 None Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | None | $14.79 | $18.20 | $18.20 |
BCBS Vermont Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $37.15 Typical High $37.15 | Professional | None | $12.88 | $37.15 | $37.15 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $70.79 | Professional | None | $34.67 | $50.12 | $70.79 |
Where Vermont sits
The same service costs 4.5 times more in Wyoming than in West Virginia. 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
$18.20
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.