How much rates vary
Facilitymedian $132 · 10th to 90th $56 to $490Professionalmedian $162 · 10th to 90th $66 to $912
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 $134.90 Median $134.90 Typical High $549.54 | Facility | None | $134.90 | $134.90 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $549.54 | Professional | None (both parts) | $128.82 | $134.90 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $190.55 | Professional | 26 · Professional part | $44.67 | $44.67 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $363.08 | Professional | TC · Technical part | $81.28 | $89.13 | $363.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $478.63 | Facility | None | $131.83 | $416.87 | $478.63 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $91.20 Median $338.84 Typical High $912.01 | Professional | None (both parts) | $91.20 | $338.84 | $912.01 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $114.82 Typical High $363.08 | Professional | 26 · Professional part | $39.81 | $114.82 | $363.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $74.13 | $234.42 | $562.34 |
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 $134.90 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $134.90 | $138.04 | $165.96 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $44.67 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $281.84 | Facility | None | $60.26 | $120.23 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $64.57 | $158.49 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $21.88 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $107.15 Typical High $204.17 | Professional | TC · Technical part | $42.66 | $107.15 | $204.17 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $190.55 | Facility | None | $53.70 | $112.20 | $190.55 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $54.95 | $120.23 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $89.13 | $223.87 | $363.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $83.18 | $125.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $67.61 | $154.88 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $478.63 | Facility | None | $131.83 | $416.87 | $478.63 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $91.20 Median $338.84 Typical High $912.01 | Professional | None (both parts) | $91.20 | $338.84 | $912.01 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $114.82 Typical High $363.08 | Professional | 26 · Professional part | $39.81 | $114.82 | $363.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $74.13 | $234.42 | $562.34 |
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 $89.13 Median $147.91 Typical High $354.81 | Professional | None (both parts) | $89.13 | $147.91 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $30.20 | $50.12 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $239.88 | Professional | TC · Technical part | $58.88 | $91.20 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $190.55 | Facility | None | $91.20 | $125.89 | $190.55 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $74.13 | Facility | 26 · Professional part | $31.62 | $41.69 | $74.13 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $141.25 | Facility | TC · Technical part | $60.26 | $77.62 | $141.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $117.49 | $117.49 | $138.04 |
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 $66.07 Median $66.07 Typical High $275.42 | Professional | 52 · Reduced service | $66.07 | $66.07 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $109.65 | Professional | 53 · Discontinued | $26.92 | $26.92 | $109.65 |
Where Massachusetts sits
The same service costs 4.5 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
$158
AK $316AL $70.79
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.