How much rates vary
Facilitymedian $100 · 10th to 90th $26 to $224Professionalmedian $115 · 10th to 90th $37 to $631
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 $24.55 Median $24.55 Typical High $331.13 | Facility | None | $24.55 | $24.55 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $331.13 | Professional | None (both parts) | $58.88 | $58.88 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $74.13 | Professional | 26 · Professional part | $16.98 | $16.98 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $257.04 | Professional | TC · Technical part | $41.69 | $41.69 | $257.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $245.47 Typical High $331.13 | Facility | None | $95.50 | $245.47 | $331.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $69.18 Median $251.19 Typical High $630.96 | Professional | None (both parts) | $69.18 | $251.19 | $630.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $53.70 Typical High $177.83 | Professional | 26 · Professional part | $16.60 | $53.70 | $177.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $199.53 Typical High $501.19 | Professional | TC · Technical part | $53.70 | $199.53 | $501.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $251.19 | Facility | None | $125.89 | $177.83 | $251.19 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $74.13 | $102.33 | $102.33 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $20.89 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $81.28 Typical High $165.96 | Facility | None | $42.66 | $81.28 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $48.98 | $114.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $10.00 | $26.92 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $38.02 | $93.33 | $204.17 |
Fallon Health Setting Facility Modifier None Typical Low $23.99 Median $91.20 Typical High $138.04 | Facility | None | $23.99 | $91.20 | $138.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $25.70 | $95.50 | $138.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $69.18 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $69.18 | $162.18 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $15.49 | $38.90 | $57.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $53.70 | $131.83 | $199.53 |
Health New England Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $245.47 Typical High $331.13 | Facility | None | $95.50 | $245.47 | $331.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $69.18 Median $251.19 Typical High $630.96 | Professional | None (both parts) | $69.18 | $251.19 | $630.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $53.70 Typical High $177.83 | Professional | 26 · Professional part | $16.60 | $53.70 | $177.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $199.53 Typical High $501.19 | Professional | TC · Technical part | $53.70 | $199.53 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $269.15 | Professional | None (both parts) | $61.66 | $104.71 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $23.99 Typical High $54.95 | Professional | 26 · Professional part | $15.14 | $23.99 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $213.80 | Professional | TC · Technical part | $53.70 | $83.18 | $213.80 |
Well Sense Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $147.91 | Facility | None | $70.79 | $97.72 | $147.91 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $34.67 | Facility | 26 · Professional part | $15.14 | $19.50 | $34.67 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $131.83 | Facility | TC · Technical part | $56.23 | $72.44 | $131.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $70.79 | $70.79 | $85.11 |
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 $29.51 Median $29.51 Typical High $165.96 | Professional | 52 · Reduced service | $29.51 | $29.51 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $66.07 | Professional | 53 · Discontinued | $11.75 | $11.75 | $66.07 |
Where Massachusetts sits
The same service costs 4.0 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· 18th of 51
$115
AK $234AL $58.88
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.