How much rates vary
Facilitymedian $155 · 10th to 90th $49 to $251Professionalmedian $204 · 10th to 90th $63 to $1,349
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 $40.74 Median $40.74 Typical High $371.54 | Facility | None | $40.74 | $40.74 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $371.54 | Professional | None (both parts) | $85.11 | $85.11 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $114.82 | Professional | 26 · Professional part | $26.30 | $26.30 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $257.04 | Professional | TC · Technical part | $58.88 | $58.88 | $257.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $562.34 | Facility | None | $91.20 | $181.97 | $562.34 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $97.72 Median $446.68 Typical High $1,348.96 | Professional | None (both parts) | $97.72 | $446.68 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $100.00 Typical High $269.15 | Professional | 26 · Professional part | $28.84 | $100.00 | $269.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $354.81 Typical High $1,096.48 | Professional | TC · Technical part | $70.79 | $354.81 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $117.49 | Facility | None | $58.88 | $81.28 | $117.49 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $107.15 | $147.91 | $190.55 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $39.81 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $208.93 | Facility | None | $60.26 | $114.82 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $380.19 | Professional | None (both parts) | $81.28 | $154.88 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $19.50 | $50.12 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $66.07 | $138.04 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $162.18 Typical High $251.19 | Facility | None | $44.67 | $162.18 | $251.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $47.86 | $173.78 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $97.72 | $275.42 | $467.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $26.30 | $69.18 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $70.79 | $223.87 | $354.81 |
Health New England Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $630.96 | Facility | None | $165.96 | $165.96 | $630.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $562.34 | Facility | None | $91.20 | $181.97 | $562.34 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $97.72 Median $446.68 Typical High $1,348.96 | Professional | None (both parts) | $97.72 | $446.68 | $1,348.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $100.00 Typical High $269.15 | Professional | 26 · Professional part | $28.84 | $100.00 | $269.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $354.81 Typical High $1,096.48 | Professional | TC · Technical part | $70.79 | $354.81 | $1,096.48 |
Tufts Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $138.04 | Facility | None | $72.44 | $91.20 | $138.04 |
United Setting Facility Modifier None Typical Low $72.44 Median $138.04 Typical High $204.17 | Facility | None | $72.44 | $138.04 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $147.91 Typical High $446.68 | Professional | None (both parts) | $79.43 | $147.91 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $104.71 | Professional | 26 · Professional part | $26.30 | $41.69 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $354.81 | Professional | TC · Technical part | $56.23 | $107.15 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $66.07 | Facility | 26 · Professional part | $28.18 | $37.15 | $66.07 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $229.09 | Facility | TC · Technical part | $97.72 | $125.89 | $229.09 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $79.43 | $79.43 | $95.50 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $186.21 | Professional | 52 · Reduced service | $42.66 | $42.66 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $74.13 | Professional | 53 · Discontinued | $16.98 | $16.98 | $74.13 |
Where Massachusetts sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 12th of 51
$191
AK $331AL $57.54
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.