How much rates vary
Facilitymedian $724 · 10th to 90th $95 to $1,585Professionalmedian $1,230 · 10th to 90th $178 to $5,888
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $977.24 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | 26 · Professional part | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $851.14 | $870.96 | $870.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $5,888.44 Typical High $5,888.44 | Professional | None (both parts) | $1,202.26 | $5,888.44 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $138.04 | $758.58 | $758.58 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $5,128.61 Typical High $5,128.61 | Professional | TC · Technical part | $1,047.13 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $2,187.76 | Facility | None | $1,230.27 | $1,348.96 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,148.15 Typical High $2,951.21 | Professional | None (both parts) | $1,047.13 | $1,148.15 | $2,951.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $346.74 | Professional | 26 · Professional part | $131.83 | $144.54 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,000.00 Typical High $2,570.40 | Professional | TC · Technical part | $912.01 | $1,000.00 | $2,570.40 |
Fallon Health Setting Facility Modifier None Typical Low $93.33 Median $707.95 Typical High $1,513.56 | Facility | None | $93.33 | $707.95 | $1,513.56 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $97.72 | $707.95 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $2,041.74 Typical High $3,019.95 | Professional | None (both parts) | $1,202.26 | $2,041.74 | $3,019.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $269.15 Typical High $407.38 | Professional | 26 · Professional part | $144.54 | $269.15 | $407.38 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,819.70 Typical High $2,691.53 | Professional | TC · Technical part | $1,047.13 | $1,819.70 | $2,691.53 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $5,888.44 Typical High $5,888.44 | Professional | None (both parts) | $1,202.26 | $5,888.44 | $5,888.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $138.04 | $758.58 | $758.58 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $5,128.61 Typical High $5,128.61 | Professional | TC · Technical part | $1,047.13 | $5,128.61 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,454.71 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,513.56 Typical High $3,981.07 | Professional | None (both parts) | $1,023.29 | $1,513.56 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $186.21 Typical High $467.74 | Professional | 26 · Professional part | $128.82 | $186.21 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,380.38 Typical High $3,467.37 | Professional | TC · Technical part | $891.25 | $1,380.38 | $3,467.37 |
Well Sense Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,479.11 | Facility | None | $724.44 | $1,000.00 | $1,479.11 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $208.93 | Facility | 26 · Professional part | $89.13 | $114.82 | $208.93 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $630.96 Median $831.76 Typical High $1,479.11 | Facility | TC · Technical part | $630.96 | $831.76 | $1,479.11 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None (both parts) | $741.31 | $741.31 | $891.25 |
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 $489.78 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $489.78 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $194.98 | $199.53 | $199.53 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 19th of 51
$1,202
AK $2,455UT $759
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.