How much rates vary
Facilitymedian $129 · 10th to 90th $12 to $1,000Professionalmedian $162 · 10th to 90th $21 to $1,202
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 $123.03 Median $123.03 Typical High $398.11 | Professional | None (both parts) | $123.03 | $123.03 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $354.81 | Professional | 26 · Professional part | $109.65 | $109.65 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $43.65 | Professional | TC · Technical part | $12.02 | $12.02 | $43.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $354.81 Typical High $1,862.09 | Facility | None | $50.12 | $354.81 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $346.74 Typical High $1,202.26 | Professional | None (both parts) | $131.83 | $346.74 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $309.03 Typical High $831.76 | Professional | 26 · Professional part | $117.49 | $309.03 | $831.76 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $45.71 Typical High $707.95 | Professional | TC · Technical part | $14.79 | $45.71 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $27.54 Typical High $446.68 | Facility | None | $19.50 | $27.54 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $162.18 | $162.18 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $363.08 | Professional | 26 · Professional part | $141.25 | $141.25 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $21.88 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $11.75 Median $81.28 Typical High $181.97 | Facility | None | $11.75 | $81.28 | $181.97 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $11.75 | $81.28 | $181.97 |
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 $147.91 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $147.91 | $275.42 | $426.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $239.88 Typical High $354.81 | Professional | 26 · Professional part | $131.83 | $239.88 | $354.81 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $32.36 | $47.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $354.81 Typical High $1,862.09 | Facility | None | $50.12 | $354.81 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $346.74 Typical High $1,202.26 | Professional | None (both parts) | $131.83 | $346.74 | $1,202.26 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $309.03 Typical High $831.76 | Professional | 26 · Professional part | $117.49 | $309.03 | $831.76 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $45.71 Typical High $707.95 | Professional | TC · Technical part | $14.79 | $45.71 | $707.95 |
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 $138.04 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $138.04 | $194.98 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $426.58 | Professional | 26 · Professional part | $123.03 | $169.82 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $22.91 Typical High $54.95 | Professional | TC · Technical part | $13.18 | $22.91 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $10.47 Median $91.20 Typical High $177.83 | Facility | None | $10.47 | $91.20 | $177.83 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $181.97 | Facility | 26 · Professional part | $79.43 | $102.33 | $181.97 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $11.48 Median $14.45 Typical High $26.92 | Facility | TC · Technical part | $11.48 | $14.45 | $26.92 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
5 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 $199.53 | Professional | 52 · Reduced service | $61.66 | $61.66 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $79.43 | Professional | 53 · Discontinued | $24.55 | $24.55 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $91.20 Typical High $295.12 | Professional | 54 · Surgery only | $91.20 | $91.20 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $58.88 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $39.81 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $39.81 |
Where Massachusetts sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 30th of 51
$158
AK $490AL $105
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.