How much rates vary
Facilitymedian $17 · 10th to 90th $3 to $263Professionalmedian $20 · 10th to 90th $14 to $54
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 $14.79 Median $14.79 Typical High $181.97 | Facility | None | $14.79 | $14.79 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $23.99 | Professional | None (both parts) | $14.79 | $14.79 | $23.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1.32 Median $1.32 Typical High $6.76 | Professional | TC · Technical part | $1.32 | $1.32 | $6.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $331.13 | Facility | None | $47.86 | $67.61 | $331.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $16.60 Median $20.42 Typical High $281.84 | Professional | None (both parts) | $16.60 | $20.42 | $281.84 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $89.13 | Professional | 26 · Professional part | $12.88 | $16.22 | $89.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $31.62 Typical High $218.78 | Professional | TC · Technical part | $3.24 | $31.62 | $218.78 |
BCBS Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Facility | None | $213.80 | $245.47 | $323.59 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | TC · Technical part | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $251.19 Typical High $380.19 | Facility | None | $6.17 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $26.92 | $42.66 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $11.22 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $5.75 | $31.62 | $31.62 |
Fallon Health Setting Facility Modifier None Typical Low $2.88 Median $11.48 Typical High $25.70 | Facility | None | $2.88 | $11.48 | $25.70 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $2.88 Median $11.22 Typical High $24.55 | Professional | None (both parts) | $2.88 | $11.22 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $14.45 Median $19.05 Typical High $44.67 | Professional | None (both parts) | $14.45 | $19.05 | $44.67 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $13.18 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.80 Typical High $31.62 | Professional | TC · Technical part | $3.02 | $3.80 | $31.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $331.13 | Facility | None | $47.86 | $67.61 | $331.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $16.60 Median $20.42 Typical High $281.84 | Professional | None (both parts) | $16.60 | $20.42 | $281.84 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $89.13 | Professional | 26 · Professional part | $12.88 | $16.22 | $89.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $31.62 Typical High $218.78 | Professional | TC · Technical part | $3.24 | $31.62 | $218.78 |
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 $15.85 Median $25.12 Typical High $50.12 | Professional | None (both parts) | $15.85 | $25.12 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $12.30 | $13.18 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.57 Typical High $31.62 | Professional | TC · Technical part | $3.02 | $4.57 | $31.62 |
Well Sense Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $44.67 | Facility | None | $13.49 | $19.50 | $44.67 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $24.55 | Facility | 26 · Professional part | $10.47 | $13.80 | $24.55 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $2.88 Median $3.72 Typical High $6.76 | Facility | TC · Technical part | $2.88 | $3.72 | $6.76 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $33.88 | $33.88 | $63.10 |
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 $7.41 Median $7.41 Typical High $11.75 | Professional | 52 · Reduced service | $7.41 | $7.41 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $4.79 | Professional | 53 · Discontinued | $2.95 | $2.95 | $4.79 |
Where Massachusetts sits
The same service costs 2.5 times more in California than in New York. 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· 31st of 51
$19.50
CA $40.74NY $16.22
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.