How much rates vary
Facilitymedian $214 · 10th to 90th $50 to $513Professionalmedian $209 · 10th to 90th $91 to $1,072
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $331.13 | Professional | None (both parts) | $91.20 | $91.20 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $29.51 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $269.15 | Professional | TC · Technical part | $63.10 | $63.10 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $616.60 | Facility | None | $204.17 | $436.52 | $616.60 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $123.03 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $123.03 | $501.19 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $28.18 | $95.50 | $234.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $97.72 | $398.11 | $851.14 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $89.13 Median $389.05 Typical High $562.34 | Facility | None | $89.13 | $389.05 | $562.34 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $208.93 | $208.93 | $363.08 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $40.74 | $70.79 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $169.82 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $169.82 Typical High $269.15 | Facility | None | $74.13 | $169.82 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $446.68 | Professional | None (both parts) | $97.72 | $181.97 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $19.50 | $51.29 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $354.81 | Professional | TC · Technical part | $77.62 | $144.54 | $354.81 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $194.98 Typical High $288.40 | Facility | None | $47.86 | $194.98 | $288.40 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $50.12 | $208.93 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $123.03 | $338.84 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $27.54 | $74.13 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $97.72 | $269.15 | $426.58 |
Health New England Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $1,258.93 | Facility | None | $165.96 | $208.93 | $1,258.93 |
Health New England Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $371.54 | Professional | None (both parts) | $69.18 | $93.33 | $371.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $616.60 | Facility | None | $204.17 | $436.52 | $616.60 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $123.03 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $123.03 | $501.19 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $28.18 | $95.50 | $234.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $97.72 | $398.11 | $851.14 |
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 $100.00 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $100.00 | $186.21 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $104.71 | Professional | 26 · Professional part | $26.30 | $41.69 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $144.54 Typical High $407.38 | Professional | TC · Technical part | $66.07 | $144.54 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $269.15 | Facility | None | $131.83 | $181.97 | $269.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $64.57 | Facility | 26 · Professional part | $28.18 | $36.31 | $64.57 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $245.47 | Facility | TC · Technical part | $104.71 | $134.90 | $245.47 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $85.11 | $85.11 | $102.33 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Massachusetts sits
The same service costs 7.1 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· 15th of 51
$209
AK $417AL $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.