How much rates vary
Facilitymedian $263 · 10th to 90th $81 to $1,318Professionalmedian $380 · 10th to 90th $110 to $2,042
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 $288.40 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $288.40 | $288.40 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $87.10 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $199.53 | $363.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $100.00 Median $524.81 Typical High $1,862.09 | Facility | None | $100.00 | $524.81 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $309.03 Median $831.76 Typical High $2,041.74 | Professional | None (both parts) | $309.03 | $831.76 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $234.42 Typical High $691.83 | Professional | 26 · Professional part | $91.20 | $234.42 | $691.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $630.96 Typical High $1,513.56 | Professional | TC · Technical part | $223.87 | $630.96 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $323.59 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $323.59 | $645.65 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $489.78 | Facility | None | $208.93 | $295.12 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $398.11 | $398.11 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $281.84 | Professional | 26 · Professional part | $112.20 | $112.20 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $676.08 | Professional | TC · Technical part | $288.40 | $288.40 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $181.97 Typical High $426.58 | Facility | None | $63.10 | $181.97 | $426.58 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $61.66 | $173.78 | $407.38 |
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 $331.13 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $331.13 | $588.84 | $912.01 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $181.97 Typical High $275.42 | Professional | 26 · Professional part | $102.33 | $181.97 | $275.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $416.87 Typical High $676.08 | Professional | TC · Technical part | $223.87 | $416.87 | $676.08 |
Health New England Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,230.27 | Facility | None | $323.59 | $323.59 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $524.81 Typical High $1,862.09 | Facility | None | $100.00 | $524.81 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $309.03 Median $831.76 Typical High $2,041.74 | Professional | None (both parts) | $309.03 | $831.76 | $2,041.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $234.42 Typical High $691.83 | Professional | 26 · Professional part | $91.20 | $234.42 | $691.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $630.96 Typical High $1,513.56 | Professional | TC · Technical part | $223.87 | $630.96 | $1,513.56 |
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 $346.74 Median $501.19 Typical High $1,348.96 | Professional | None (both parts) | $346.74 | $501.19 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $371.54 | Professional | 26 · Professional part | $93.33 | $131.83 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $977.24 | Professional | TC · Technical part | $251.19 | $363.08 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $263.03 Typical High $467.74 | Facility | None | $100.00 | $263.03 | $467.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $144.54 | Facility | 26 · Professional part | $61.66 | $79.43 | $144.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $407.38 | Facility | TC · Technical part | $173.78 | $229.09 | $407.38 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $257.04 | $257.04 | $309.03 |
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 $144.54 Median $144.54 Typical High $407.38 | Professional | 52 · Reduced service | $144.54 | $144.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $162.18 | Professional | 53 · Discontinued | $57.54 | $57.54 | $162.18 |
Where Massachusetts sits
The same service costs 4.8 times more in Alaska 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· 35th of 51
$347
AK $1,000UT $209
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.