How much rates vary
Facilitymedian $110 · 10th to 90th $37 to $282Professionalmedian $115 · 10th to 90th $52 to $562
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 $53.70 Median $53.70 Typical High $295.12 | Facility | None | $53.70 | $53.70 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $208.93 | Professional | None (both parts) | $53.70 | $56.23 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $66.07 | Professional | 26 · Professional part | $16.22 | $16.98 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $151.36 | Professional | TC · Technical part | $37.15 | $38.90 | $151.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $380.19 | Facility | None | $104.71 | $281.84 | $380.19 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $66.07 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $66.07 | $269.15 | $562.34 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $19.50 | $70.79 | $173.78 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $45.71 | $199.53 | $389.05 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $229.09 | Facility | None | $114.82 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $114.82 | $114.82 | $194.98 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $30.20 | $52.48 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $125.89 | Facility | None | $41.69 | $79.43 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $229.09 | Professional | None (both parts) | $52.48 | $102.33 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $14.45 | $32.36 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $70.79 Typical High $162.18 | Professional | TC · Technical part | $37.15 | $70.79 | $162.18 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $97.72 Typical High $158.49 | Facility | None | $35.48 | $97.72 | $158.49 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $37.15 | $107.15 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $66.07 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $66.07 | $151.36 | $281.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $19.50 | $48.98 | $81.28 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $45.71 | $138.04 | $213.80 |
Health New England Setting Facility Modifier None Typical Low $91.20 Median $245.47 Typical High $977.24 | Facility | None | $91.20 | $245.47 | $977.24 |
Health New England Setting Professional Modifier None (both parts) Typical Low $45.71 Median $204.17 Typical High $660.69 | Professional | None (both parts) | $45.71 | $204.17 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $380.19 | Facility | None | $104.71 | $281.84 | $380.19 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $66.07 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $66.07 | $269.15 | $562.34 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $19.50 | $70.79 | $173.78 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $45.71 | $199.53 | $389.05 |
Tufts Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $489.78 | Facility | None | $48.98 | $67.61 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $51.29 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $51.29 | $91.20 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $100.00 Typical High $275.42 | Professional | None (both parts) | $53.70 | $100.00 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $30.90 Typical High $75.86 | Professional | 26 · Professional part | $16.22 | $30.90 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $69.18 Typical High $194.98 | Professional | TC · Technical part | $38.90 | $69.18 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $138.04 | Facility | None | $67.61 | $93.33 | $138.04 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $47.86 | Facility | 26 · Professional part | $20.42 | $26.92 | $47.86 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $109.65 | Facility | TC · Technical part | $46.77 | $61.66 | $109.65 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $48.98 | $48.98 | $58.88 |
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 $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Massachusetts sits
The same service costs 5.9 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· 16th of 51
$115
AK $347AL $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.