How much rates vary
Facilitymedian $117 · 10th to 90th $35 to $200Professionalmedian $141 · 10th to 90th $55 to $708
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 $10.47 Median $77.62 Typical High $223.87 | Facility | None | $10.47 | $77.62 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $295.12 | Professional | None (both parts) | $77.62 | $85.11 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $64.57 | Professional | 26 · Professional part | $20.42 | $21.88 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $234.42 | Professional | TC · Technical part | $56.23 | $67.61 | $234.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $416.87 | Facility | None | $91.20 | $138.04 | $416.87 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $74.13 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $74.13 | $323.59 | $707.95 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $19.95 | $70.79 | $162.18 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $263.03 Typical High $549.54 | Professional | TC · Technical part | $56.23 | $263.03 | $549.54 |
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 $131.83 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $131.83 | $131.83 | $229.09 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $28.18 | $48.98 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $104.71 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $97.72 Typical High $199.53 | Facility | None | $46.77 | $97.72 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $63.10 | $131.83 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $13.49 | $35.48 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $50.12 | $104.71 | $229.09 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $120.23 Typical High $181.97 | Facility | None | $32.36 | $120.23 | $181.97 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $34.67 | $128.82 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $74.13 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $74.13 | $213.80 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $18.62 | $51.29 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $56.23 | $169.82 | $263.03 |
Health New England Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $467.74 | Facility | None | $83.18 | $138.04 | $467.74 |
Health New England Setting Professional Modifier None (both parts) Typical Low $42.66 Median $194.98 Typical High $446.68 | Professional | None (both parts) | $42.66 | $194.98 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $416.87 | Facility | None | $91.20 | $138.04 | $416.87 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $74.13 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $74.13 | $323.59 | $707.95 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $19.95 | $70.79 | $162.18 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $263.03 Typical High $549.54 | Professional | TC · Technical part | $56.23 | $263.03 | $549.54 |
Tufts Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $97.72 | Facility | None | $72.44 | $89.13 | $97.72 |
Tufts Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $89.13 | $123.03 | $218.78 |
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 $58.88 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $58.88 | $112.20 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.84 Typical High $72.44 | Professional | 26 · Professional part | $18.20 | $28.84 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $239.88 | Professional | TC · Technical part | $54.95 | $87.10 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $181.97 | Facility | None | $89.13 | $123.03 | $181.97 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $44.67 | Facility | 26 · Professional part | $19.50 | $25.12 | $44.67 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $162.18 | Facility | TC · Technical part | $69.18 | $89.13 | $162.18 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $81.28 | $81.28 | $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 $38.90 Median $38.90 Typical High $186.21 | Professional | 52 · Reduced service | $38.90 | $38.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $74.13 | Professional | 53 · Discontinued | $15.49 | $15.49 | $74.13 |
Where Massachusetts sits
The same service costs 5.5 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
$132
AK $269AL $48.98
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.