How much rates vary
Facilitymedian $174 · 10th to 90th $46 to $490Professionalmedian $166 · 10th to 90th $69 to $977
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 $363.08 | Facility | None | $24.55 | $24.55 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $363.08 | Professional | None (both parts) | $87.10 | $87.10 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $138.04 | Professional | 26 · Professional part | $32.36 | $32.36 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $223.87 | Professional | TC · Technical part | $53.70 | $53.70 | $223.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $426.58 Typical High $549.54 | Facility | None | $162.18 | $426.58 | $549.54 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $89.13 Median $407.38 Typical High $977.24 | Professional | None (both parts) | $89.13 | $407.38 | $977.24 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $95.50 Typical High $251.19 | Professional | 26 · Professional part | $31.62 | $95.50 | $251.19 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $64.57 | $323.59 | $758.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $630.96 | Facility | None | $316.23 | $436.52 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $165.96 | $165.96 | $288.40 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $37.15 | $64.57 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $128.82 | $128.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $81.28 Typical High $190.55 | Facility | None | $38.02 | $81.28 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $81.28 | $162.18 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $18.20 | $47.86 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $309.03 | Professional | TC · Technical part | $63.10 | $125.89 | $309.03 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $147.91 Typical High $229.09 | Facility | None | $42.66 | $147.91 | $229.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $45.71 | $158.49 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $89.13 | $181.97 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $29.51 | $69.18 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $64.57 | $204.17 | $323.59 |
Health New England Setting Facility Modifier None Typical Low $125.89 Median $169.82 Typical High $309.03 | Facility | None | $125.89 | $169.82 | $309.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $57.54 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $57.54 | $144.54 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $426.58 Typical High $549.54 | Facility | None | $162.18 | $426.58 | $549.54 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $89.13 Median $407.38 Typical High $977.24 | Professional | None (both parts) | $89.13 | $407.38 | $977.24 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $95.50 Typical High $251.19 | Professional | 26 · Professional part | $31.62 | $95.50 | $251.19 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $64.57 | $323.59 | $758.58 |
United Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $676.08 | Facility | None | $239.88 | $446.68 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $398.11 | Professional | None (both parts) | $69.18 | $134.90 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $24.55 | $40.74 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $97.72 Typical High $316.23 | Professional | TC · Technical part | $48.98 | $97.72 | $316.23 |
Well Sense Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $245.47 | Facility | None | $120.23 | $165.96 | $245.47 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $60.26 | Facility | 26 · Professional part | $26.30 | $33.88 | $60.26 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $218.78 | Facility | TC · Technical part | $93.33 | $123.03 | $218.78 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $77.62 | $77.62 | $93.33 |
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 $43.65 Median $43.65 Typical High $181.97 | Professional | 52 · Reduced service | $43.65 | $43.65 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $72.44 | Professional | 53 · Discontinued | $17.38 | $17.38 | $72.44 |
Where Massachusetts sits
The same service costs 5.2 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
$170
AK $309AL $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.