How much rates vary
Facilitymedian $15 · 10th to 90th $3 to $263Professionalmedian $19 · 10th to 90th $11 to $56
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 $13.80 Median $13.80 Typical High $169.82 | Facility | None | $13.80 | $13.80 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $21.88 | Professional | None (both parts) | $13.80 | $13.80 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1.32 Median $1.32 Typical High $8.91 | Professional | TC · Technical part | $1.32 | $1.32 | $8.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $331.13 | Facility | None | $44.67 | $64.57 | $331.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.50 Typical High $269.15 | Professional | None (both parts) | $15.14 | $19.50 | $269.15 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $89.13 | Professional | 26 · Professional part | $11.75 | $14.79 | $89.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $28.18 Typical High $213.80 | Professional | TC · Technical part | $3.24 | $28.18 | $213.80 |
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 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
BCBS Massachusetts 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 $537.03 | Facility | None | $6.17 | $251.19 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $25.70 | $38.90 | $38.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $10.23 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $5.75 | $28.84 | $28.84 |
Fallon Health Setting Facility Modifier None Typical Low $2.88 Median $10.72 Typical High $23.99 | Facility | None | $2.88 | $10.72 | $23.99 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $2.88 Median $10.72 Typical High $23.44 | Professional | None (both parts) | $2.88 | $10.72 | $23.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $10.47 Median $17.78 Typical High $39.81 | Professional | None (both parts) | $10.47 | $17.78 | $39.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $13.49 | $16.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.47 Typical High $28.18 | Professional | TC · Technical part | $3.02 | $3.47 | $28.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $331.13 | Facility | None | $44.67 | $64.57 | $331.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.50 Typical High $269.15 | Professional | None (both parts) | $15.14 | $19.50 | $269.15 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $89.13 | Professional | 26 · Professional part | $11.75 | $14.79 | $89.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $28.18 Typical High $213.80 | Professional | TC · Technical part | $3.24 | $28.18 | $213.80 |
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 $14.79 Median $23.99 Typical High $47.86 | Professional | None (both parts) | $14.79 | $23.99 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $11.48 | $12.02 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.57 Typical High $28.18 | Professional | TC · Technical part | $3.02 | $4.57 | $28.18 |
Well Sense Setting Facility Modifier None Typical Low $12.59 Median $17.38 Typical High $26.30 | Facility | None | $12.59 | $17.38 | $26.30 |
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 $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 $24.55 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $24.55 | $31.62 | $38.02 |
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 $6.92 Median $6.92 Typical High $10.47 | Professional | 52 · Reduced service | $6.92 | $6.92 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $4.17 | Professional | 53 · Discontinued | $2.75 | $2.75 | $4.17 |
Where Massachusetts sits
The same service costs 2.6 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· 30th of 51
$18.62
CA $38.02NY $14.45
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.