How much rates vary
Facilitymedian $46 · 10th to 90th $15 to $170Professionalmedian $44 · 10th to 90th $17 to $151
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 $24.55 Median $35.48 Typical High $138.04 | Facility | None | $24.55 | $35.48 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $61.66 | Professional | None (both parts) | $24.55 | $27.54 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $19.50 | Professional | 26 · Professional part | $8.32 | $9.33 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.78 Typical High $44.67 | Professional | TC · Technical part | $16.22 | $17.78 | $44.67 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $120.23 Typical High $162.18 | Facility | None | $38.02 | $120.23 | $162.18 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $213.80 | Professional | None (both parts) | $33.11 | $79.43 | $213.80 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $23.44 Typical High $66.07 | Professional | 26 · Professional part | $10.47 | $23.44 | $66.07 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $57.54 Typical High $147.91 | Professional | TC · Technical part | $22.39 | $57.54 | $147.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $177.83 | Facility | None | $72.44 | $97.72 | $177.83 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $54.95 | Professional | None (both parts) | $30.90 | $32.36 | $54.95 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $11.22 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $79.43 Typical High $223.87 | Facility | None | $40.74 | $79.43 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $107.15 | Professional | None (both parts) | $38.02 | $45.71 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $30.90 | Professional | 26 · Professional part | $12.59 | $13.18 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $75.86 | Professional | TC · Technical part | $25.12 | $33.11 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $13.18 Median $33.11 Typical High $54.95 | Facility | None | $13.18 | $33.11 | $54.95 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $34.67 Typical High $54.95 | Professional | None (both parts) | $13.18 | $34.67 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $109.65 | Professional | None (both parts) | $33.11 | $50.12 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $11.75 | $16.98 | $30.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $25.70 | $43.65 | $72.44 |
Health New England Setting Facility Modifier None Typical Low $51.29 Median $154.88 Typical High $251.19 | Facility | None | $51.29 | $154.88 | $251.19 |
Health New England Setting Professional Modifier None (both parts) Typical Low $15.14 Median $21.88 Typical High $56.23 | Professional | None (both parts) | $15.14 | $21.88 | $56.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $120.23 Typical High $162.18 | Facility | None | $38.02 | $120.23 | $162.18 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $213.80 | Professional | None (both parts) | $33.11 | $79.43 | $213.80 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $23.44 Typical High $66.07 | Professional | 26 · Professional part | $10.47 | $23.44 | $66.07 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $57.54 Typical High $147.91 | Professional | TC · Technical part | $22.39 | $57.54 | $147.91 |
Tufts Setting Facility Modifier None Typical Low $26.30 Median $104.71 Typical High $407.38 | Facility | None | $26.30 | $104.71 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $26.30 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $26.30 | $43.65 | $64.57 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $31.62 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $14.45 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $30.90 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $36.31 Typical High $54.95 | Facility | None | $26.30 | $36.31 | $54.95 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $17.78 | Facility | 26 · Professional part | $7.76 | $10.00 | $17.78 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $43.65 | Facility | TC · Technical part | $18.62 | $24.55 | $43.65 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | None (both parts) | $23.99 | $23.99 | $28.84 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $64.57 | Facility | 52 · Reduced service | $35.48 | $44.67 | $64.57 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $12.59 | Professional | 52 · Reduced service | $5.62 | $5.62 | $12.59 |
Where Massachusetts sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 18th of 51
$43.65
VT $447FL $26.30
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.