How much rates vary
Facilitymedian $204 · 10th to 90th $56 to $372Professionalmedian $209 · 10th to 90th $78 to $1,148
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 $33.11 Median $33.88 Typical High $575.44 | Facility | None | $33.11 | $33.88 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $457.09 | Professional | None (both parts) | $123.03 | $123.03 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | 26 · Professional part | $33.11 | $33.11 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $354.81 | Professional | TC · Technical part | $91.20 | $91.20 | $354.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $645.65 | Facility | None | $194.98 | $281.84 | $645.65 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $128.82 Median $467.74 Typical High $1,148.15 | Professional | None (both parts) | $128.82 | $467.74 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $107.15 Typical High $346.74 | Professional | 26 · Professional part | $31.62 | $107.15 | $346.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $97.72 | $371.54 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $331.13 | Facility | None | $165.96 | $234.42 | $331.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $204.17 | $204.17 | $354.81 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $45.71 | $79.43 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $158.49 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $338.84 | Facility | None | $89.13 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $467.74 | Professional | None (both parts) | $97.72 | $169.82 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $41.69 Typical High $104.71 | Professional | 26 · Professional part | $21.88 | $41.69 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $75.86 | $134.90 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $181.97 Typical High $281.84 | Facility | None | $52.48 | $181.97 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $53.70 | $194.98 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $257.04 Typical High $524.81 | Professional | None (both parts) | $128.82 | $257.04 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $41.69 | $67.61 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $97.72 | $194.98 | $407.38 |
Health New England Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $338.84 | Facility | None | $181.97 | $204.17 | $338.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $69.18 | $109.65 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $645.65 | Facility | None | $194.98 | $281.84 | $645.65 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $128.82 Median $467.74 Typical High $1,148.15 | Professional | None (both parts) | $128.82 | $467.74 | $1,148.15 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $107.15 Typical High $346.74 | Professional | 26 · Professional part | $31.62 | $107.15 | $346.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $97.72 | $371.54 | $870.96 |
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 $93.33 Median $194.98 Typical High $537.03 | Professional | None (both parts) | $93.33 | $194.98 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $117.49 | Professional | 26 · Professional part | $29.51 | $48.98 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $147.91 Typical High $416.87 | Professional | TC · Technical part | $48.98 | $147.91 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $295.12 | Facility | None | $141.25 | $194.98 | $295.12 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $72.44 | Facility | 26 · Professional part | $31.62 | $40.74 | $72.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $257.04 | Facility | TC · Technical part | $109.65 | $144.54 | $257.04 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $125.89 | $125.89 | $151.36 |
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 $61.66 Median $61.66 Typical High $288.40 | Professional | 52 · Reduced service | $61.66 | $61.66 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $114.82 | Professional | 53 · Discontinued | $24.55 | $24.55 | $114.82 |
Where Massachusetts sits
The same service costs 4.9 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· 14th of 51
$209
AK $468AL $95.50
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.