How much rates vary
Facilitymedian $48 · 10th to 90th $30 to $3,090Professionalmedian $63 · 10th to 90th $34 to $398
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 Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $52.48 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $52.48 | $239.88 | $398.11 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $25.12 | $194.98 | $194.98 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $28.18 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $70.79 | Facility | None | $42.66 | $46.77 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $44.67 Typical High $87.10 | Facility | None | $30.20 | $44.67 | $87.10 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $30.20 | $44.67 | $87.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $25.70 Median $63.10 Typical High $147.91 | Professional | None (both parts) | $25.70 | $63.10 | $147.91 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $51.29 | $66.07 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $31.62 | $63.10 | $89.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $52.48 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $52.48 | $239.88 | $398.11 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $25.12 | $194.98 | $194.98 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $28.18 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $114.82 | Facility | None | $40.74 | $75.86 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $48.98 | $83.18 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $22.91 | $37.15 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $45.71 Typical High $93.33 | Professional | TC · Technical part | $26.30 | $45.71 | $93.33 |
Well Sense Setting Facility Modifier None Typical Low $45.71 Median $3,090.30 Typical High $4,897.79 | Facility | None | $45.71 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Where Massachusetts sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
Massachusetts· 13th of 51
$63.10
NE $105AR $25.12
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.