How much rates vary
Facilitymedian $63 · 10th to 90th $17 to $692Professionalmedian $59 · 10th to 90th $22 to $372
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 $39.81 Median $89.13 Typical High $190.55 | Facility | None | $39.81 | $89.13 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $128.82 | Professional | None (both parts) | $39.81 | $42.66 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $25.12 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $53.70 | Professional | TC · Technical part | $16.60 | $16.60 | $53.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $251.19 Typical High $1,819.70 | Facility | None | $52.48 | $251.19 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $53.70 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $53.70 | $141.25 | $371.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $32.36 | $81.28 | $213.80 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $63.10 Typical High $154.88 | Professional | TC · Technical part | $22.91 | $63.10 | $154.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $398.11 | Facility | None | $257.04 | $302.00 | $398.11 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $58.88 | $87.10 | $169.82 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $39.81 Typical High $954.99 | Facility | None | $28.18 | $39.81 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $131.83 | Professional | None (both parts) | $57.54 | $57.54 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $32.36 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $53.70 | Professional | TC · Technical part | $25.70 | $25.70 | $53.70 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $33.88 Typical High $75.86 | Facility | None | $16.22 | $33.88 | $75.86 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $16.22 | $33.88 | $69.18 |
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 $25.70 Median $79.43 Typical High $169.82 | Professional | None (both parts) | $25.70 | $79.43 | $169.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $64.57 | $95.50 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $21.38 | $50.12 | $70.79 |
Health New England Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $575.44 | Facility | None | $257.04 | $398.11 | $575.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $42.66 | $44.67 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $251.19 Typical High $1,819.70 | Facility | None | $52.48 | $251.19 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $53.70 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $53.70 | $141.25 | $371.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $32.36 | $81.28 | $213.80 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $63.10 Typical High $154.88 | Professional | TC · Technical part | $22.91 | $63.10 | $154.88 |
Tufts Setting Facility Modifier None Typical Low $47.86 Median $309.03 Typical High $489.78 | Facility | None | $47.86 | $309.03 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | None (both parts) | $66.07 | $66.07 | $89.13 |
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 $51.29 Median $70.79 Typical High $173.78 | Professional | None (both parts) | $51.29 | $70.79 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $32.36 | $44.67 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $31.62 Typical High $77.62 | Professional | TC · Technical part | $19.05 | $31.62 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $53.70 Typical High $104.71 | Facility | None | $15.85 | $53.70 | $104.71 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $70.79 | Facility | 26 · Professional part | $30.90 | $41.69 | $70.79 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $52.48 | Facility | TC · Technical part | $22.91 | $28.84 | $52.48 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None (both parts) | $47.86 | $47.86 | $57.54 |
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 $19.95 Median $19.95 Typical High $69.18 | Professional | 52 · Reduced service | $19.95 | $19.95 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $27.54 | Professional | 53 · Discontinued | $7.94 | $7.94 | $27.54 |
Where Massachusetts sits
The same service costs 6.5 times more in Minnesota 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· 33rd of 51
$58.88
MN $295KY $45.71
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.