How much rates vary
Facilitymedian $380 · 10th to 90th $74 to $2,042Professionalmedian $501 · 10th to 90th $135 to $2,884
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 $275.42 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $275.42 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $190.55 | $380.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $3,162.28 | Facility | None | $501.19 | $1,122.02 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,318.26 Typical High $2,884.03 | Professional | None (both parts) | $346.74 | $1,318.26 | $2,884.03 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $407.38 Typical High $660.69 | Professional | 26 · Professional part | $95.50 | $407.38 | $660.69 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,348.96 Typical High $2,344.23 | Professional | TC · Technical part | $288.40 | $1,348.96 | $2,344.23 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $102.33 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $467.74 | $575.44 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $120.23 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $446.68 Typical High $954.99 | Professional | TC · Technical part | $371.54 | $446.68 | $954.99 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $269.15 Typical High $616.60 | Facility | None | $67.61 | $269.15 | $616.60 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $263.03 Typical High $588.84 | Professional | None (both parts) | $67.61 | $263.03 | $588.84 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $407.38 Median $630.96 Typical High $1,230.27 | Professional | None (both parts) | $407.38 | $630.96 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $112.20 | $144.54 | $281.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $537.03 Typical High $933.25 | Professional | TC · Technical part | $346.74 | $537.03 | $933.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $3,162.28 | Facility | None | $501.19 | $1,122.02 | $3,162.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,318.26 Typical High $2,884.03 | Professional | None (both parts) | $346.74 | $1,318.26 | $2,884.03 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $407.38 Typical High $660.69 | Professional | 26 · Professional part | $95.50 | $407.38 | $660.69 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,348.96 Typical High $2,344.23 | Professional | TC · Technical part | $288.40 | $1,348.96 | $2,344.23 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,698.24 Typical High $2,818.38 | Facility | None | $575.44 | $1,698.24 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $1,778.28 | Professional | None (both parts) | $269.15 | $549.54 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $407.38 | Professional | 26 · Professional part | $87.10 | $125.89 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $1,348.96 | Professional | TC · Technical part | $218.78 | $446.68 | $1,348.96 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $707.95 | Facility | None | $346.74 | $478.63 | $707.95 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $154.88 | Facility | 26 · Professional part | $66.07 | $87.10 | $154.88 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $363.08 Typical High $645.65 | Facility | TC · Technical part | $275.42 | $363.08 | $645.65 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $177.83 | $177.83 | $208.93 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $58.88 | $60.26 | $72.44 |
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 $138.04 Median $138.04 Typical High $239.88 | Professional | 52 · Reduced service | $138.04 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $97.72 | Professional | 53 · Discontinued | $54.95 | $54.95 | $97.72 |
Where Massachusetts sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 21st of 51
$479
AK $1,413KY $219
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.