How much rates vary
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 $67.61 Median $245.47 Typical High $562.34 | Facility | None | $67.61 | $245.47 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $776.25 | Professional | None (both parts) | $223.87 | $245.47 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $190.55 | Professional | 26 · Professional part | $63.10 | $63.10 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $501.19 | Professional | TC · Technical part | $154.88 | $177.83 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $1,047.13 | Facility | None | $323.59 | $501.19 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $194.98 Median $812.83 Typical High $1,819.70 | Professional | None (both parts) | $194.98 | $812.83 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $218.78 Typical High $512.86 | Professional | 26 · Professional part | $60.26 | $218.78 | $512.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $630.96 Typical High $1,318.26 | Professional | TC · Technical part | $138.04 | $630.96 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $630.96 | Facility | None | $316.23 | $436.52 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $575.44 | Professional | None (both parts) | $338.84 | $338.84 | $575.44 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $87.10 | $147.91 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $251.19 | $251.19 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $602.56 | Facility | None | $117.49 | $251.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $741.31 | Professional | None (both parts) | $162.18 | $302.00 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $41.69 | $109.65 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $120.23 | $239.88 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $95.50 Median $288.40 Typical High $467.74 | Facility | None | $95.50 | $288.40 | $467.74 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $104.71 | $316.23 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $194.98 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $194.98 | $549.54 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $56.23 | $158.49 | $234.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $138.04 | $416.87 | $630.96 |
Health New England Setting Facility Modifier None Typical Low $208.93 Median $446.68 Typical High $1,348.96 | Facility | None | $208.93 | $446.68 | $1,348.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $131.83 Median $295.12 Typical High $645.65 | Professional | None (both parts) | $131.83 | $295.12 | $645.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $1,047.13 | Facility | None | $323.59 | $501.19 | $1,047.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $194.98 Median $812.83 Typical High $1,819.70 | Professional | None (both parts) | $194.98 | $812.83 | $1,819.70 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $218.78 Typical High $512.86 | Professional | 26 · Professional part | $60.26 | $218.78 | $512.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $630.96 Typical High $1,318.26 | Professional | TC · Technical part | $138.04 | $630.96 | $1,318.26 |
Tufts Setting Facility Modifier None Typical Low $199.53 Median $426.58 Typical High $707.95 | Facility | None | $199.53 | $426.58 | $707.95 |
Tufts Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $199.53 | $309.03 | $575.44 |
United Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $1,412.54 | Facility | None | $501.19 | $954.99 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $295.12 Typical High $812.83 | Professional | None (both parts) | $134.90 | $295.12 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $223.87 | Professional | 26 · Professional part | $56.23 | $89.13 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $588.84 | Professional | TC · Technical part | $125.89 | $208.93 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $467.74 | Facility | None | $229.09 | $316.23 | $467.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $141.25 | Facility | 26 · Professional part | $60.26 | $77.62 | $141.25 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $389.05 | Facility | TC · Technical part | $165.96 | $218.78 | $389.05 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $169.82 | $169.82 | $204.17 |
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 $120.23 Median $120.23 Typical High $389.05 | Professional | 52 · Reduced service | $120.23 | $120.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $154.88 | Professional | 53 · Discontinued | $48.98 | $48.98 | $154.88 |
Where Massachusetts sits
The same service costs 4.2 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· 18th of 51
$339
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.