How much rates vary
Facilitymedian $178 · 10th to 90th $71 to $1,122Professionalmedian $282 · 10th to 90th $87 to $1,698
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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $524.81 | Professional | None (both parts) | $204.17 | $204.17 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $77.62 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $125.89 | $338.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,862.09 | Facility | None | $100.00 | $371.54 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $229.09 Median $602.56 Typical High $1,698.24 | Professional | None (both parts) | $229.09 | $602.56 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $213.80 Typical High $588.84 | Professional | 26 · Professional part | $81.28 | $213.80 | $588.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $436.52 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $436.52 | $1,122.02 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $234.42 | $467.74 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $489.78 | Facility | None | $181.97 | $263.03 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $295.12 | $295.12 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $100.00 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $194.98 | $194.98 | $467.74 |
Fallon Health Setting Facility Modifier None Typical Low $57.54 Median $134.90 Typical High $309.03 | Facility | None | $57.54 | $134.90 | $309.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $54.95 | $131.83 | $281.84 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $239.88 | $436.52 | $660.69 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $91.20 | $162.18 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $269.15 | $467.74 |
Health New England Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $831.76 | Facility | None | $446.68 | $724.44 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,862.09 | Facility | None | $100.00 | $371.54 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $229.09 Median $602.56 Typical High $1,698.24 | Professional | None (both parts) | $229.09 | $602.56 | $1,698.24 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $213.80 Typical High $588.84 | Professional | 26 · Professional part | $81.28 | $213.80 | $588.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $436.52 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $436.52 | $1,122.02 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $1,000.00 | Professional | None (both parts) | $251.19 | $363.08 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $331.13 | Professional | 26 · Professional part | $85.11 | $114.82 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $660.69 | Professional | TC · Technical part | $165.96 | $251.19 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $194.98 Typical High $354.81 | Facility | None | $100.00 | $194.98 | $354.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $128.82 | Facility | 26 · Professional part | $54.95 | $72.44 | $128.82 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $288.40 | Facility | TC · Technical part | $123.03 | $158.49 | $288.40 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $173.78 | $173.78 | $208.93 |
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 $102.33 Median $102.33 Typical High $323.59 | Professional | 52 · Reduced service | $102.33 | $102.33 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $128.82 | Professional | 53 · Discontinued | $40.74 | $40.74 | $128.82 |
Where Massachusetts sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 36th of 51
$251
WI $708UT $135
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.