How much rates vary
Facilitymedian $50 · 10th to 90th $23 to $126Professionalmedian $63 · 10th to 90th $42 to $117
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 $64.57 Median $64.57 Typical High $173.78 | Facility | None | $64.57 | $64.57 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $61.66 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $37.15 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $29.51 | Professional | TC · Technical part | $24.55 | $28.18 | $29.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $229.09 | Facility | None | $125.89 | $177.83 | $229.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $42.66 Median $67.61 Typical High $398.11 | Professional | None (both parts) | $42.66 | $67.61 | $398.11 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $363.08 | Professional | 26 · Professional part | $26.92 | $42.66 | $363.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $165.96 | Professional | TC · Technical part | $14.45 | $26.30 | $165.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $134.90 | Facility | None | $87.10 | $100.00 | $134.90 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $41.69 | $41.69 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $25.70 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $15.85 | $33.88 |
Fallon Health Setting Facility Modifier None Typical Low $20.42 Median $43.65 Typical High $91.20 | Facility | None | $20.42 | $43.65 | $91.20 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $23.99 | $66.07 | $66.07 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $41.69 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $41.69 | $52.48 | $87.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $29.51 | $52.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $22.91 | $37.15 |
Health New England Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $154.88 | Facility | None | $89.13 | $89.13 | $154.88 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $91.20 | $281.84 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $229.09 | Facility | None | $125.89 | $177.83 | $229.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $42.66 Median $67.61 Typical High $398.11 | Professional | None (both parts) | $42.66 | $67.61 | $398.11 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $363.08 | Professional | 26 · Professional part | $26.92 | $42.66 | $363.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $165.96 | Professional | TC · Technical part | $14.45 | $26.30 | $165.96 |
Tufts Setting Facility Modifier None Typical Low $51.29 Median $97.72 Typical High $177.83 | Facility | None | $51.29 | $97.72 | $177.83 |
Tufts Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | None (both parts) | $46.77 | $46.77 | $48.98 |
United Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $234.42 | Facility | None | $83.18 | $154.88 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $41.69 | $46.77 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $27.54 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.95 Typical High $38.90 | Professional | TC · Technical part | $14.45 | $19.95 | $38.90 |
Well Sense Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $100.00 | Facility | None | $48.98 | $67.61 | $100.00 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $27.54 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $50.12 | Facility | TC · Technical part | $21.38 | $27.54 | $50.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $95.50 | Professional | None (both parts) | $43.65 | $43.65 | $95.50 |
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 $30.90 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.59 | $12.88 | $12.88 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $44.67 Median $50.12 Typical High $67.61 | Facility | 52 · Reduced service | $44.67 | $50.12 | $67.61 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Where Massachusetts sits
The same service costs 3.7 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· 29th of 51
$61.66
AK $170FL $45.71
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.