How much rates vary
Facilitymedian $288 · 10th to 90th $76 to $1,047Professionalmedian $355 · 10th to 90th $110 to $1,445
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 $2,691.53 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $281.84 | $281.84 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $91.20 | $95.50 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $190.55 | $295.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,398.83 | Facility | None | $123.03 | $537.03 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $239.88 Median $758.58 Typical High $2,951.21 | Professional | None (both parts) | $239.88 | $758.58 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $239.88 Typical High $1,513.56 | Professional | 26 · Professional part | $97.72 | $239.88 | $1,513.56 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $645.65 Typical High $2,818.38 | Professional | TC · Technical part | $218.78 | $645.65 | $2,818.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $602.56 Median $691.83 Typical High $933.25 | Facility | None | $602.56 | $691.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $512.86 | $524.81 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $169.82 | $169.82 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $537.03 | Professional | TC · Technical part | $331.13 | $346.74 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $190.55 Typical High $436.52 | Facility | None | $69.18 | $190.55 | $436.52 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $186.21 Typical High $436.52 | Professional | None (both parts) | $67.61 | $186.21 | $436.52 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $363.08 Median $707.95 Typical High $1,023.29 | Professional | None (both parts) | $363.08 | $707.95 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $112.20 | $204.17 | $309.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $512.86 Typical High $707.95 | Professional | TC · Technical part | $257.04 | $512.86 | $707.95 |
Health New England Setting Facility Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
Health New England Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,398.83 | Facility | None | $123.03 | $537.03 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $239.88 Median $758.58 Typical High $2,951.21 | Professional | None (both parts) | $239.88 | $758.58 | $2,951.21 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $239.88 Typical High $1,513.56 | Professional | 26 · Professional part | $97.72 | $239.88 | $1,513.56 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $645.65 Typical High $2,818.38 | Professional | TC · Technical part | $218.78 | $645.65 | $2,818.38 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $1,479.11 | Professional | None (both parts) | $346.74 | $501.19 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $426.58 | Professional | 26 · Professional part | $104.71 | $147.91 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $371.54 Typical High $1,023.29 | Professional | TC · Technical part | $239.88 | $371.54 | $1,023.29 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $478.63 | Facility | None | $239.88 | $295.12 | $478.63 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $138.04 | Facility | 26 · Professional part | $67.61 | $89.13 | $138.04 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $338.84 | Facility | TC · Technical part | $165.96 | $204.17 | $338.84 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $229.09 | $229.09 | $275.42 |
3 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 $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $57.54 | $83.18 | $83.18 |
Where Massachusetts sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 26th of 51
$347
WI $891HI $138
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.