How much rates vary
Facilitymedian $95 · 10th to 90th $16 to $229Professionalmedian $100 · 10th to 90th $25 to $513
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 $8.91 Median $53.70 Typical High $165.96 | Facility | None | $8.91 | $53.70 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $218.78 | Professional | None (both parts) | $53.70 | $57.54 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $37.15 | Professional | 26 · Professional part | $9.12 | $9.77 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $190.55 | Professional | TC · Technical part | $44.67 | $53.70 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $309.03 | Facility | None | $66.07 | $102.33 | $309.03 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $53.70 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $53.70 | $239.88 | $512.86 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $32.36 Typical High $107.15 | Professional | 26 · Professional part | $8.91 | $32.36 | $107.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $46.77 | $208.93 | $436.52 |
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 $97.72 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $97.72 | $97.72 | $169.82 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $21.88 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $85.11 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $83.18 Typical High $158.49 | Facility | None | $38.90 | $83.18 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $91.20 Typical High $213.80 | Professional | None (both parts) | $46.77 | $91.20 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $6.17 | $16.22 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $40.74 | $85.11 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $14.45 Median $97.72 Typical High $134.90 | Facility | None | $14.45 | $97.72 | $134.90 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $15.49 | $100.00 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $53.70 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $53.70 | $158.49 | $251.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $8.13 | $23.44 | $34.67 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $45.71 | $138.04 | $218.78 |
Health New England Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $338.84 | Facility | None | $97.72 | $123.03 | $338.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $19.50 Median $43.65 Typical High $120.23 | Professional | None (both parts) | $19.50 | $43.65 | $120.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $309.03 | Facility | None | $66.07 | $102.33 | $309.03 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $53.70 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $53.70 | $239.88 | $512.86 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $32.36 Typical High $107.15 | Professional | 26 · Professional part | $8.91 | $32.36 | $107.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $46.77 | $208.93 | $436.52 |
Tufts Setting Facility Modifier None Typical Low $64.57 Median $218.78 Typical High $489.78 | Facility | None | $64.57 | $218.78 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $64.57 | $91.20 | $162.18 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $81.28 Typical High $229.09 | Professional | None (both parts) | $43.65 | $81.28 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.18 Typical High $33.11 | Professional | 26 · Professional part | $8.13 | $13.18 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $194.98 | Professional | TC · Technical part | $45.71 | $70.79 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $131.83 | Facility | None | $64.57 | $89.13 | $131.83 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $20.42 | Facility | 26 · Professional part | $8.71 | $11.48 | $20.42 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $128.82 | Facility | TC · Technical part | $56.23 | $72.44 | $128.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $58.88 | $58.88 | $70.79 |
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 $26.92 Median $26.92 Typical High $138.04 | Professional | 52 · Reduced service | $26.92 | $26.92 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $54.95 | Professional | 53 · Discontinued | $10.72 | $10.72 | $54.95 |
Where Massachusetts sits
The same service costs 6.0 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· 17th of 51
$97.72
AK $209AL $34.67
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.