How much rates vary
Facilitymedian $43 · 10th to 90th $9 to $91Professionalmedian $41 · 10th to 90th $17 to $269
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 $21.38 Median $25.70 Typical High $66.07 | Facility | None | $21.38 | $25.70 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $87.10 | Professional | None (both parts) | $25.70 | $25.70 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.25 Typical High $17.38 | Professional | 26 · Professional part | $5.25 | $5.25 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $70.79 | Professional | TC · Technical part | $20.42 | $20.42 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $75.86 Typical High $123.03 | Facility | None | $38.02 | $75.86 | $123.03 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $23.44 Median $95.50 Typical High $269.15 | Professional | None (both parts) | $23.44 | $95.50 | $269.15 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $19.05 Typical High $151.36 | Professional | 26 · Professional part | $5.01 | $19.05 | $151.36 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $81.28 Typical High $234.42 | Professional | TC · Technical part | $23.99 | $81.28 | $234.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $74.13 | Facility | None | $36.31 | $51.29 | $74.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $38.90 | $38.90 | $67.61 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $7.41 | $12.88 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $31.62 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $67.61 | Facility | None | $20.42 | $41.69 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $19.05 | $43.65 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $9.12 Typical High $16.22 | Professional | 26 · Professional part | $3.47 | $9.12 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $35.48 Typical High $66.07 | Professional | TC · Technical part | $15.14 | $35.48 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $8.91 Median $36.31 Typical High $53.70 | Facility | None | $8.91 | $36.31 | $53.70 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $9.12 | $38.90 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $22.91 Median $60.26 Typical High $102.33 | Professional | None (both parts) | $22.91 | $60.26 | $102.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $4.68 | $13.80 | $20.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $23.44 | $54.95 | $85.11 |
Health New England Setting Facility Modifier None Typical Low $40.74 Median $95.50 Typical High $251.19 | Facility | None | $40.74 | $95.50 | $251.19 |
Health New England Setting Professional Modifier None (both parts) Typical Low $10.96 Median $21.88 Typical High $33.11 | Professional | None (both parts) | $10.96 | $21.88 | $33.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $75.86 Typical High $123.03 | Facility | None | $38.02 | $75.86 | $123.03 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $23.44 Median $95.50 Typical High $269.15 | Professional | None (both parts) | $23.44 | $95.50 | $269.15 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $19.05 Typical High $151.36 | Professional | 26 · Professional part | $5.01 | $19.05 | $151.36 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $81.28 Typical High $234.42 | Professional | TC · Technical part | $23.99 | $81.28 | $234.42 |
Tufts Setting Facility Modifier None Typical Low $25.70 Median $53.70 Typical High $426.58 | Facility | None | $25.70 | $53.70 | $426.58 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $36.31 Typical High $91.20 | Professional | None (both parts) | $21.88 | $36.31 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.41 Typical High $18.62 | Professional | 26 · Professional part | $4.68 | $7.41 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $72.44 | Professional | TC · Technical part | $17.38 | $28.84 | $72.44 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $35.48 Typical High $53.70 | Facility | None | $25.70 | $35.48 | $53.70 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.01 Median $6.46 Typical High $11.48 | Facility | 26 · Professional part | $5.01 | $6.46 | $11.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $48.98 | Facility | TC · Technical part | $20.89 | $26.92 | $48.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | None (both parts) | $39.81 | $39.81 | $47.86 |
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 $12.59 Median $12.59 Typical High $93.33 | Professional | 52 · Reduced service | $12.59 | $12.59 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $37.15 | Professional | 53 · Discontinued | $5.13 | $5.13 | $37.15 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 23rd of 51
$41.69
AK $123AR $28.18
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.