How much rates vary
Facilitymedian $30 · 10th to 90th $9 to $263Professionalmedian $42 · 10th to 90th $15 to $195
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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | None (both parts) | $36.31 | $36.31 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $12.88 | $13.80 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $22.39 | $35.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $338.84 | Facility | None | $89.13 | $120.23 | $338.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $36.31 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $36.31 | $89.13 | $194.98 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $29.51 Typical High $69.18 | Professional | 26 · Professional part | $12.59 | $29.51 | $69.18 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $22.39 | $61.66 | $128.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Facility | None | $213.80 | $245.47 | $323.59 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $40.74 Median $61.66 Typical High $204.17 | Professional | None (both parts) | $40.74 | $61.66 | $204.17 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $12.59 | $12.59 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $199.53 Typical High $223.87 | Facility | None | $186.21 | $199.53 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $34.67 | $39.81 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $12.59 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $26.92 | $63.10 |
Fallon Health Setting Facility Modifier None Typical Low $8.13 Median $22.91 Typical High $51.29 | Facility | None | $8.13 | $22.91 | $51.29 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $22.39 Typical High $51.29 | Professional | None (both parts) | $8.51 | $22.39 | $51.29 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $34.67 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $34.67 | $75.86 | $112.20 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $13.18 | $25.70 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $27.54 | $47.86 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $331.13 | Facility | None | $218.78 | $218.78 | $331.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.20 Median $21.88 Typical High $93.33 | Professional | None (both parts) | $18.20 | $21.88 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $338.84 | Facility | None | $89.13 | $120.23 | $338.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $36.31 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $36.31 | $89.13 | $194.98 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $29.51 Typical High $69.18 | Professional | 26 · Professional part | $12.59 | $29.51 | $69.18 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $22.39 | $61.66 | $128.82 |
Tufts Setting Facility Modifier None Typical Low $23.99 Median $213.80 Typical High $426.58 | Facility | None | $23.99 | $213.80 | $426.58 |
United Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $501.19 | Facility | None | $177.83 | $338.84 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $138.04 | Professional | None (both parts) | $38.02 | $53.70 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $45.71 | Professional | 26 · Professional part | $14.45 | $19.50 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $93.33 | Professional | TC · Technical part | $23.44 | $34.67 | $93.33 |
Well Sense Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $48.98 | Facility | None | $23.99 | $33.11 | $48.98 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $18.20 | Facility | 26 · Professional part | $7.76 | $10.00 | $18.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $37.15 | Facility | TC · Technical part | $15.85 | $20.89 | $37.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | None (both parts) | $25.70 | $25.70 | $30.90 |
4 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 $16.98 Median $18.20 Typical High $19.05 | Professional | 52 · Reduced service | $16.98 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $7.24 | $7.59 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $107.15 Median $123.03 Typical High $162.18 | Facility | 52 · Reduced service | $107.15 | $123.03 | $162.18 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $14.13 | Professional | 52 · Reduced service | $6.31 | $6.31 | $14.13 |
Where Massachusetts sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 30th of 51
$39.81
AK $83.18FL $30.90
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.