How much rates vary
Facilitymedian $447 · 10th to 90th $148 to $1,514Professionalmedian $537 · 10th to 90th $302 to $1,660
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 $354.81 Median $588.84 Typical High $2,137.96 | Facility | None | $354.81 | $588.84 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $416.87 | $588.84 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $158.49 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $295.12 | $436.52 | $602.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $309.03 Median $1,288.25 Typical High $1,513.56 | Facility | None | $309.03 | $1,288.25 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $416.87 Typical High $436.52 | Facility | 26 · Professional part | $95.50 | $416.87 | $436.52 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $1,023.29 Typical High $1,071.52 | Facility | TC · Technical part | $208.93 | $1,023.29 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $2,344.23 | Professional | None (both parts) | $446.68 | $954.99 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $245.47 Typical High $691.83 | Professional | 26 · Professional part | $95.50 | $245.47 | $691.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $691.83 Typical High $1,659.59 | Professional | TC · Technical part | $316.23 | $691.83 | $1,659.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $1,288.25 Typical High $2,041.74 | Facility | None | $707.95 | $1,288.25 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $478.63 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $478.63 | $537.03 | $812.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $117.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $2,089.30 Typical High $2,570.40 | Facility | None | $389.05 | $2,089.30 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $501.19 Typical High $1,148.15 | Professional | None (both parts) | $467.74 | $501.19 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $338.84 | Professional | 26 · Professional part | $117.49 | $144.54 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $831.76 | Professional | TC · Technical part | $331.13 | $354.81 | $831.76 |
Fallon Health Setting Facility Modifier None Typical Low $134.90 Median $331.13 Typical High $549.54 | Facility | None | $134.90 | $331.13 | $549.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $141.25 | $354.81 | $562.34 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $407.38 Median $758.58 Typical High $1,258.93 | Professional | None (both parts) | $407.38 | $758.58 | $1,258.93 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $186.21 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $186.21 | $331.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $954.99 | Professional | TC · Technical part | $281.84 | $524.81 | $954.99 |
Health New England Setting Facility Modifier None Typical Low $575.44 Median $1,000.00 Typical High $4,677.35 | Facility | None | $575.44 | $1,000.00 | $4,677.35 |
Health New England Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $151.36 | $181.97 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $309.03 Median $1,288.25 Typical High $1,513.56 | Facility | None | $309.03 | $1,288.25 | $1,513.56 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $416.87 Typical High $436.52 | Facility | 26 · Professional part | $95.50 | $416.87 | $436.52 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $1,023.29 Typical High $1,071.52 | Facility | TC · Technical part | $208.93 | $1,023.29 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $2,344.23 | Professional | None (both parts) | $446.68 | $954.99 | $2,344.23 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $245.47 Typical High $691.83 | Professional | 26 · Professional part | $95.50 | $245.47 | $691.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $691.83 Typical High $1,659.59 | Professional | TC · Technical part | $316.23 | $691.83 | $1,659.59 |
Tufts Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $870.96 | Facility | None | $371.54 | $426.58 | $870.96 |
Tufts Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $371.54 | $501.19 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $1,548.82 | Professional | None (both parts) | $407.38 | $588.84 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $147.91 Typical High $346.74 | Professional | 26 · Professional part | $77.62 | $147.91 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $1,174.90 | Professional | TC · Technical part | $295.12 | $416.87 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $933.25 | Facility | None | $398.11 | $645.65 | $933.25 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $165.96 | Facility | 26 · Professional part | $81.28 | $100.00 | $165.96 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $794.33 | Facility | TC · Technical part | $389.05 | $478.63 | $794.33 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | None (both parts) | $323.59 | $323.59 | $389.05 |
4 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 $363.08 Median $630.96 Typical High $1,000.00 | Facility | 52 · Reduced service | $363.08 | $630.96 | $1,000.00 |
BCBS Massachusetts Setting Facility Modifier 73 · Stopped before anesthesia Typical Low $218.78 Median $380.19 Typical High $602.56 | Facility | 73 · Stopped before anesthesia | $218.78 | $380.19 | $602.56 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $77.62 Typical High $134.90 | Professional | 52 · Reduced service | $58.88 | $77.62 | $134.90 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $117.49 Typical High $234.42 | Professional | 53 · Discontinued | $29.51 | $117.49 | $234.42 |
Where Massachusetts sits
The same service costs 6.0 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· 20th of 51
$537
WY $1,380UT $229
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.