How much rates vary
Facilitymedian $87 · 10th to 90th $45 to $174Professionalmedian $110 · 10th to 90th $60 to $550
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $67.61 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $26.92 | $26.92 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $39.81 | $39.81 | $60.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $61.66 Median $263.03 Typical High $316.23 | Facility | None | $61.66 | $263.03 | $316.23 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $83.18 Median $190.55 Typical High $549.54 | Professional | None (both parts) | $83.18 | $190.55 | $549.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $72.44 Typical High $208.93 | Professional | 26 · Professional part | $33.11 | $72.44 | $208.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $120.23 Typical High $338.84 | Professional | TC · Technical part | $51.29 | $120.23 | $338.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $173.78 | Facility | None | $87.10 | $125.89 | $173.78 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $51.29 | $61.66 | $66.07 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $35.48 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $257.04 | Professional | None (both parts) | $102.33 | $109.65 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $41.69 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $67.61 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $67.61 Typical High $131.83 | Facility | None | $42.66 | $67.61 | $131.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $42.66 | $75.86 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $85.11 | $128.82 | $251.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $57.54 | $100.00 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $95.50 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $190.55 | Facility | None | $93.33 | $123.03 | $190.55 |
Health New England Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $281.84 | Professional | None (both parts) | $46.77 | $51.29 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $61.66 Median $263.03 Typical High $316.23 | Facility | None | $61.66 | $263.03 | $316.23 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $83.18 Median $190.55 Typical High $549.54 | Professional | None (both parts) | $83.18 | $190.55 | $549.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $72.44 Typical High $208.93 | Professional | 26 · Professional part | $33.11 | $72.44 | $208.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $120.23 Typical High $338.84 | Professional | TC · Technical part | $51.29 | $120.23 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $83.18 | $112.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $45.71 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $69.18 | $120.23 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $134.90 | Facility | None | $64.57 | $91.20 | $134.90 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $57.54 | Facility | 26 · Professional part | $24.55 | $32.36 | $57.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $95.50 | Facility | TC · Technical part | $40.74 | $52.48 | $95.50 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $67.61 | $67.61 | $81.28 |
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 $17.78 Median $23.44 Typical High $40.74 | Professional | 52 · Reduced service | $17.78 | $23.44 | $40.74 |
Where Massachusetts sits
The same service costs 3.8 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· 17th of 51
$110
AK $240TX $63.10
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.