How much rates vary
Facilitymedian $72 · 10th to 90th $33 to $138Professionalmedian $87 · 10th to 90th $39 to $437
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $67.61 Median $177.83 Typical High $223.87 | Facility | None | $67.61 | $177.83 | $223.87 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $51.29 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $51.29 | $177.83 | $436.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $63.10 Typical High $158.49 | Professional | 26 · Professional part | $17.78 | $63.10 | $158.49 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $117.49 Typical High $281.84 | Professional | TC · Technical part | $33.88 | $117.49 | $281.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $173.78 | Facility | None | $85.11 | $120.23 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $93.33 | Facility | None | $33.11 | $60.26 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $36.31 | $89.13 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $12.59 | $31.62 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $57.54 Typical High $117.49 | Professional | TC · Technical part | $23.99 | $57.54 | $117.49 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $60.26 Typical High $104.71 | Facility | None | $31.62 | $60.26 | $104.71 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $32.36 | $64.57 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $51.29 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $51.29 | $112.20 | $199.53 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $17.78 | $46.77 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $33.88 | $81.28 | $125.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $67.61 Median $177.83 Typical High $223.87 | Facility | None | $67.61 | $177.83 | $223.87 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $51.29 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $51.29 | $177.83 | $436.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $63.10 Typical High $158.49 | Professional | 26 · Professional part | $17.78 | $63.10 | $158.49 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $117.49 Typical High $281.84 | Professional | TC · Technical part | $33.88 | $117.49 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $204.17 | Professional | None (both parts) | $47.86 | $79.43 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $14.79 | $28.84 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $134.90 | Professional | TC · Technical part | $33.11 | $52.48 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $123.03 | Facility | None | $58.88 | $81.28 | $123.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $48.98 | Facility | 26 · Professional part | $20.89 | $27.54 | $48.98 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $89.13 | Facility | TC · Technical part | $38.02 | $50.12 | $89.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None (both parts) | $43.65 | $43.65 | $52.48 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$85.11
AK $182TX $41.69
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.