How much rates vary
Facilitymedian $138 · 10th to 90th $41 to $275Professionalmedian $145 · 10th to 90th $81 to $676
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $190.55 | Professional | None (both parts) | $87.10 | $87.10 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $22.91 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $64.57 | $134.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $288.40 Typical High $398.11 | Facility | None | $95.50 | $288.40 | $398.11 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $112.20 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $112.20 | $275.42 | $676.08 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $29.51 | $69.18 | $181.97 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $83.18 | $208.93 | $489.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $245.47 | Facility | None | $123.03 | $177.83 | $245.47 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $134.90 | $134.90 | $234.42 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $32.36 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $275.42 | Facility | None | $81.28 | $120.23 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $134.90 | $144.54 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $36.31 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $109.65 | $251.19 |
Fallon Health Setting Facility Modifier None Typical Low $38.90 Median $120.23 Typical High $186.21 | Facility | None | $38.90 | $120.23 | $186.21 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $38.90 | $125.89 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $117.49 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $117.49 | $234.42 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $60.26 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $177.83 | $251.19 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $239.88 | Facility | None | $173.78 | $194.98 | $239.88 |
Health New England Setting Professional Modifier None (both parts) Typical Low $40.74 Median $63.10 Typical High $257.04 | Professional | None (both parts) | $40.74 | $63.10 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $288.40 Typical High $398.11 | Facility | None | $95.50 | $288.40 | $398.11 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $112.20 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $112.20 | $275.42 | $676.08 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $29.51 | $69.18 | $181.97 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $83.18 | $208.93 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $40.74 | $51.29 | $104.71 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $107.15 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $37.15 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $109.65 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $169.82 | Facility | None | $81.28 | $114.82 | $169.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $48.98 | Facility | 26 · Professional part | $21.38 | $27.54 | $48.98 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $141.25 | Facility | TC · Technical part | $61.66 | $79.43 | $141.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $85.11 | $85.11 | $102.33 |
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 $61.66 Median $77.62 Typical High $109.65 | Facility | 52 · Reduced service | $61.66 | $77.62 | $109.65 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $21.38 Typical High $37.15 | Professional | 52 · Reduced service | $16.22 | $21.38 | $37.15 |
Where Massachusetts sits
The same service costs 3.7 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· 16th of 51
$145
AK $309TX $83.18
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.