How much rates vary
Facilitymedian $158 · 10th to 90th $44 to $1,380Professionalmedian $214 · 10th to 90th $56 to $1,585
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 $537.03 Median $2,238.72 Typical High $3,630.78 | Facility | None | $537.03 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $416.87 | Professional | None (both parts) | $123.03 | $123.03 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $40.74 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $81.28 | $316.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $128.82 Median $524.81 Typical High $2,344.23 | Facility | None | $128.82 | $524.81 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $181.97 Median $512.86 Typical High $1,584.89 | Professional | None (both parts) | $181.97 | $512.86 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $112.20 Typical High $912.01 | Professional | 26 · Professional part | $42.66 | $112.20 | $912.01 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $407.38 Typical High $1,148.15 | Professional | TC · Technical part | $147.91 | $407.38 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $181.97 | $316.23 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $199.53 Typical High $831.76 | Facility | None | $50.12 | $199.53 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $239.88 | $239.88 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $52.48 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $467.74 | Professional | TC · Technical part | $190.55 | $190.55 | $467.74 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $107.15 Typical High $245.47 | Facility | None | $29.51 | $107.15 | $245.47 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $102.33 Typical High $234.42 | Professional | None (both parts) | $28.84 | $102.33 | $234.42 |
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 $186.21 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $186.21 | $346.74 | $575.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $87.10 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $263.03 | $457.09 |
Health New England Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $630.96 | Facility | None | $489.78 | $602.56 | $630.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $407.38 | Professional | None (both parts) | $67.61 | $72.44 | $407.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $128.82 Median $524.81 Typical High $2,344.23 | Facility | None | $128.82 | $524.81 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $181.97 Median $512.86 Typical High $1,584.89 | Professional | None (both parts) | $181.97 | $512.86 | $1,584.89 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $112.20 Typical High $912.01 | Professional | 26 · Professional part | $42.66 | $112.20 | $912.01 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $407.38 Typical High $1,148.15 | Professional | TC · Technical part | $147.91 | $407.38 | $1,148.15 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $194.98 | $323.59 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $177.83 | Professional | 26 · Professional part | $44.67 | $66.07 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $588.84 | Professional | TC · Technical part | $147.91 | $251.19 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $199.53 Typical High $302.00 | Facility | None | $67.61 | $199.53 | $302.00 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $67.61 | Facility | 26 · Professional part | $28.84 | $38.02 | $67.61 |
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 $112.20 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $112.20 | $112.20 | $134.90 |
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 $61.66 Median $61.66 Typical High $257.04 | Professional | 52 · Reduced service | $61.66 | $61.66 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $102.33 | Professional | 53 · Discontinued | $24.55 | $24.55 | $102.33 |
Where Massachusetts sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$200
AK $759TX $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.