How much rates vary
Facilitymedian $263 · 10th to 90th $69 to $851Professionalmedian $295 · 10th to 90th $191 to $1,380
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 $194.98 Median $2,137.96 Typical High $2,137.96 | Facility | None | $194.98 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $194.98 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $42.66 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $151.36 | $151.36 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $177.83 Median $741.31 Typical High $891.25 | Facility | None | $177.83 | $741.31 | $891.25 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $194.98 Typical High $208.93 | Facility | 26 · Professional part | $44.67 | $194.98 | $208.93 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $645.65 Typical High $676.08 | Facility | TC · Technical part | $131.83 | $645.65 | $676.08 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $229.09 Median $478.63 Typical High $1,380.38 | Professional | None (both parts) | $229.09 | $478.63 | $1,380.38 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $112.20 Typical High $331.13 | Professional | 26 · Professional part | $51.29 | $112.20 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $186.21 | $398.11 | $1,047.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,000.00 | Facility | None | $346.74 | $630.96 | $1,000.00 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $190.55 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $190.55 | $416.87 | $851.14 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $56.23 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $1,949.84 Typical High $2,344.23 | Facility | None | $245.47 | $1,949.84 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $269.15 | $295.12 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $69.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $223.87 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $64.57 Median $208.93 Typical High $323.59 | Facility | None | $64.57 | $208.93 | $323.59 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $66.07 | $223.87 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $239.88 Median $389.05 Typical High $660.69 | Professional | None (both parts) | $239.88 | $389.05 | $660.69 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $97.72 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $288.40 | $489.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $177.83 Median $741.31 Typical High $891.25 | Facility | None | $177.83 | $741.31 | $891.25 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $194.98 Typical High $208.93 | Facility | 26 · Professional part | $44.67 | $194.98 | $208.93 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $645.65 Typical High $676.08 | Facility | TC · Technical part | $131.83 | $645.65 | $676.08 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $229.09 Median $478.63 Typical High $1,380.38 | Professional | None (both parts) | $229.09 | $478.63 | $1,380.38 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $112.20 Typical High $331.13 | Professional | 26 · Professional part | $51.29 | $112.20 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $186.21 | $398.11 | $1,047.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $676.08 | Professional | None (both parts) | $229.09 | $323.59 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $50.12 | $74.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $257.04 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $562.34 | Facility | None | $239.88 | $389.05 | $562.34 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $79.43 | Facility | 26 · Professional part | $38.90 | $47.86 | $79.43 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $501.19 | Facility | TC · Technical part | $245.47 | $302.00 | $501.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $190.55 | $190.55 | $229.09 |
3 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 $177.83 Median $309.03 Typical High $489.78 | Facility | 52 · Reduced service | $177.83 | $309.03 | $489.78 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $63.10 | Professional | 52 · Reduced service | $28.18 | $28.18 | $63.10 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $31.62 | Professional | 53 · Discontinued | $13.80 | $13.80 | $31.62 |
Where Massachusetts sits
The same service costs 5.4 times more in Wyoming than in Utah. 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
$295
WY $813UT $151
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.