How much rates vary
Facilitymedian $42 · 10th to 90th $16 to $95Professionalmedian $76 · 10th to 90th $28 to $275
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 $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.95 Typical High $23.44 | Professional | TC · Technical part | $19.50 | $19.95 | $23.44 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $77.62 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $77.62 | $407.38 | $407.38 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $52.48 | $281.84 | $281.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $25.12 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $302.00 | Facility | None | $31.62 | $35.48 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $93.33 | $97.72 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $66.07 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $33.11 | $61.66 |
Fallon Health Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $87.10 | Facility | None | $15.14 | $36.31 | $87.10 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $39.81 Typical High $87.10 | Professional | None (both parts) | $15.49 | $39.81 | $87.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $72.44 | $104.71 | $190.55 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $77.62 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $33.11 | $60.26 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $77.62 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $77.62 | $407.38 | $407.38 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $52.48 | $281.84 | $281.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $25.12 | $125.89 | $125.89 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $245.47 | Professional | None (both parts) | $69.18 | $97.72 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $169.82 | Professional | 26 · Professional part | $47.86 | $67.61 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.90 Typical High $75.86 | Professional | TC · Technical part | $20.42 | $30.90 | $75.86 |
Well Sense Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $102.33 | Facility | None | $50.12 | $69.18 | $102.33 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $77.62 | Facility | 26 · Professional part | $33.11 | $43.65 | $77.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $38.02 | Facility | TC · Technical part | $16.22 | $21.38 | $38.02 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $51.29 | $51.29 | $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 $32.36 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $32.36 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $12.88 | $12.88 | $13.49 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 21st of 51
$75.86
AK $170TX $43.65
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.