How much rates vary
Facilitymedian $72 · 10th to 90th $43 to $2,951Professionalmedian $98 · 10th to 90th $51 to $550
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
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 $70.79 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $70.79 | $251.19 | $549.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $144.54 Typical High $331.13 | Professional | 26 · Professional part | $40.74 | $144.54 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $30.90 | $107.15 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $52.48 Typical High $89.13 | Facility | None | $47.86 | $52.48 | $89.13 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $123.03 | Facility | None | $41.69 | $63.10 | $123.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $42.66 | $66.07 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $77.62 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $77.62 | $138.04 | $223.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $95.50 | $131.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $95.50 | Professional | TC · Technical part | $32.36 | $69.18 | $95.50 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $70.79 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $70.79 | $251.19 | $549.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $144.54 Typical High $331.13 | Professional | 26 · Professional part | $40.74 | $144.54 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $30.90 | $107.15 | $223.87 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $112.20 Typical High $251.19 | Professional | None (both parts) | $67.61 | $112.20 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $38.02 | $67.61 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $48.98 Typical High $107.15 | Professional | TC · Technical part | $28.18 | $48.98 | $107.15 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $2,951.21 Typical High $4,897.79 | Facility | None | $66.07 | $2,951.21 | $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 $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Massachusetts sits
The same service costs 14.8 times more in Texas 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· 12th of 51
$91.20
TX $537AR $36.31
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.