How much rates vary
Facilitymedian $28 · 10th to 90th $11 to $631Professionalmedian $55 · 10th to 90th $19 to $112
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 $190.55 | Facility | None | $64.57 | $64.57 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $61.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.02 | $12.30 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $50.12 | $52.48 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $676.08 | Facility | None | $91.20 | $117.49 | $676.08 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $15.14 Median $56.23 Typical High $630.96 | Professional | None (both parts) | $15.14 | $56.23 | $630.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.49 Typical High $346.74 | Professional | 26 · Professional part | $8.71 | $15.49 | $346.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $91.20 Typical High $537.03 | Professional | TC · Technical part | $36.31 | $91.20 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $831.76 | Facility | None | $537.03 | $630.96 | $831.76 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $67.61 | Professional | None (both parts) | $30.90 | $30.90 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $38.02 | $63.10 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $29.51 | Professional | 26 · Professional part | $8.51 | $8.51 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $54.95 | $57.54 |
Fallon Health Setting Facility Modifier None Typical Low $10.23 Median $22.39 Typical High $46.77 | Facility | None | $10.23 | $22.39 | $46.77 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $11.22 Median $28.84 Typical High $61.66 | Professional | None (both parts) | $11.22 | $28.84 | $61.66 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $26.92 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $26.92 | $60.26 | $93.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $36.31 | Professional | 26 · Professional part | $8.71 | $11.22 | $36.31 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $39.81 Typical High $64.57 | Professional | TC · Technical part | $15.85 | $39.81 | $64.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $676.08 | Facility | None | $91.20 | $117.49 | $676.08 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $15.14 Median $56.23 Typical High $630.96 | Professional | None (both parts) | $15.14 | $56.23 | $630.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.49 Typical High $346.74 | Professional | 26 · Professional part | $8.71 | $15.49 | $346.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $91.20 Typical High $537.03 | Professional | TC · Technical part | $36.31 | $91.20 | $537.03 |
United Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,737.80 | Facility | None | $630.96 | $1,174.90 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $45.71 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $30.20 | Professional | 26 · Professional part | $8.71 | $12.02 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $117.49 | Professional | TC · Technical part | $36.31 | $58.88 | $117.49 |
Well Sense Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $75.86 | Facility | None | $37.15 | $51.29 | $75.86 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $22.91 | Facility | 26 · Professional part | $9.77 | $12.88 | $22.91 |
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 $45.71 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $45.71 | $45.71 | $61.66 |
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 $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 $12.30 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.88 | $12.88 |
Where Massachusetts sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 24th of 51
$52.48
AK $110OH $33.11
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.