How much rates vary
Facilitymedian $219 · 10th to 90th $38 to $537Professionalmedian $295 · 10th to 90th $69 to $1,549
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 $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $229.09 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $61.66 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $204.17 | Professional | TC · Technical part | $165.96 | $199.53 | $204.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $912.01 | Facility | None | $537.03 | $707.95 | $912.01 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $204.17 Median $602.56 Typical High $1,548.82 | Professional | None (both parts) | $204.17 | $602.56 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $128.82 Typical High $323.59 | Professional | 26 · Professional part | $50.12 | $128.82 | $323.59 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $575.44 Typical High $1,230.27 | Professional | TC · Technical part | $181.97 | $575.44 | $1,230.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $602.56 | Facility | None | $389.05 | $457.09 | $602.56 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $53.70 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $660.69 | Professional | None (both parts) | $218.78 | $288.40 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $52.48 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $512.86 | Professional | TC · Technical part | $173.78 | $239.88 | $512.86 |
Fallon Health Setting Facility Modifier None Typical Low $34.67 Median $165.96 Typical High $363.08 | Facility | None | $34.67 | $165.96 | $363.08 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $35.48 | $165.96 | $389.05 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $239.88 | $407.38 | $691.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $91.20 | $138.04 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $331.13 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $912.01 | Facility | None | $537.03 | $707.95 | $912.01 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $204.17 Median $602.56 Typical High $1,548.82 | Professional | None (both parts) | $204.17 | $602.56 | $1,548.82 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $128.82 Typical High $323.59 | Professional | 26 · Professional part | $50.12 | $128.82 | $323.59 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $575.44 Typical High $1,230.27 | Professional | TC · Technical part | $181.97 | $575.44 | $1,230.27 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $204.17 | $302.00 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $66.07 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $234.42 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $309.03 | Facility | None | $151.36 | $208.93 | $309.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $81.28 | Facility | 26 · Professional part | $34.67 | $45.71 | $81.28 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $269.15 | Facility | TC · Technical part | $114.82 | $151.36 | $269.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $181.97 | $181.97 | $213.80 |
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 $112.20 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $52.48 | $53.70 |
Where Massachusetts sits
The same service costs 3.0 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· 14th of 51
$295
AK $513FL $174
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.