How much rates vary
Facilitymedian $148 · 10th to 90th $45 to $257Professionalmedian $162 · 10th to 90th $58 to $724
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $57.54 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $18.20 | $18.20 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $39.81 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $147.91 Median $363.08 Typical High $457.09 | Facility | None | $147.91 | $363.08 | $457.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $81.28 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $81.28 | $363.08 | $724.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $21.88 | $85.11 | $199.53 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $58.88 | $281.84 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $281.84 | Facility | None | $141.25 | $199.53 | $281.84 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $154.88 | $154.88 | $269.15 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $165.96 | Facility | None | $46.77 | $95.50 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $67.61 | $131.83 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $17.38 | $37.15 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $218.78 | Professional | TC · Technical part | $51.29 | $91.20 | $218.78 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $138.04 Typical High $213.80 | Facility | None | $42.66 | $138.04 | $213.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $44.67 | $147.91 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $81.28 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $81.28 | $257.04 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $21.88 | $63.10 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $58.88 | $190.55 | $295.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $147.91 Median $363.08 Typical High $457.09 | Facility | None | $147.91 | $363.08 | $457.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $81.28 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $81.28 | $363.08 | $724.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $21.88 | $85.11 | $199.53 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $58.88 | $281.84 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $338.84 | Professional | None (both parts) | $63.10 | $123.03 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $91.20 | Professional | 26 · Professional part | $19.50 | $34.67 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $87.10 Typical High $263.03 | Professional | TC · Technical part | $41.69 | $87.10 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $194.98 | Facility | None | $95.50 | $131.83 | $194.98 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $56.23 | Facility | 26 · Professional part | $23.99 | $31.62 | $56.23 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $165.96 | Facility | TC · Technical part | $72.44 | $93.33 | $165.96 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $53.70 | $53.70 | $64.57 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Where Massachusetts sits
The same service costs 4.6 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
$162
AK $269AL $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.