How much rates vary
Facilitymedian $41 · 10th to 90th $12 to $170Professionalmedian $39 · 10th to 90th $14 to $135
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 $22.39 Median $22.39 Typical High $125.89 | Facility | None | $22.39 | $22.39 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $57.54 | Professional | None (both parts) | $22.39 | $24.55 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $7.76 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.60 Typical High $40.74 | Professional | TC · Technical part | $15.14 | $16.60 | $40.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $26.92 Median $104.71 Typical High $162.18 | Facility | None | $26.92 | $104.71 | $162.18 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $29.51 Median $72.44 Typical High $194.98 | Professional | None (both parts) | $29.51 | $72.44 | $194.98 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $18.62 Typical High $54.95 | Professional | 26 · Professional part | $8.71 | $18.62 | $54.95 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $51.29 Typical High $138.04 | Professional | TC · Technical part | $21.38 | $51.29 | $138.04 |
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 $28.84 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $28.84 | $29.51 | $38.90 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $9.77 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $79.43 Typical High $223.87 | Facility | None | $37.15 | $79.43 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $95.50 | Professional | None (both parts) | $33.88 | $40.74 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $10.96 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $70.79 | Professional | TC · Technical part | $22.91 | $30.20 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $30.20 Typical High $48.98 | Facility | None | $11.48 | $30.20 | $48.98 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $11.48 | $31.62 | $48.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $29.51 Median $44.67 Typical High $100.00 | Professional | None (both parts) | $29.51 | $44.67 | $100.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $26.30 | Professional | 26 · Professional part | $9.77 | $12.88 | $26.30 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $38.90 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $45.71 Median $109.65 Typical High $281.84 | Facility | None | $45.71 | $109.65 | $281.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.49 Median $20.89 Typical High $72.44 | Professional | None (both parts) | $13.49 | $20.89 | $72.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $26.92 Median $104.71 Typical High $162.18 | Facility | None | $26.92 | $104.71 | $162.18 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $29.51 Median $72.44 Typical High $194.98 | Professional | None (both parts) | $29.51 | $72.44 | $194.98 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $18.62 Typical High $54.95 | Professional | 26 · Professional part | $8.71 | $18.62 | $54.95 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $51.29 Typical High $138.04 | Professional | TC · Technical part | $21.38 | $51.29 | $138.04 |
Tufts Setting Facility Modifier None Typical Low $23.44 Median $125.89 Typical High $426.58 | Facility | None | $23.44 | $125.89 | $426.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $22.39 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $22.39 | $38.90 | $60.26 |
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 $28.84 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $28.84 | $40.74 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $8.51 | $12.02 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $28.18 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $23.44 Median $32.36 Typical High $48.98 | Facility | None | $23.44 | $32.36 | $48.98 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $15.14 | Facility | 26 · Professional part | $6.46 | $8.51 | $15.14 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $39.81 | Facility | TC · Technical part | $16.98 | $22.39 | $39.81 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None (both parts) | $21.88 | $21.88 | $26.30 |
1 more rate 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 Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $10.96 | Professional | 52 · Reduced service | $4.90 | $4.90 | $10.96 |
Where Massachusetts sits
The same service costs 5.0 times more in Vermont than in New York. 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
$38.90
VT $110NY $21.88
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.