How much rates vary
Facilitymedian $162 · 10th to 90th $60 to $676Professionalmedian $209 · 10th to 90th $63 to $851
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 $169.82 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $169.82 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $72.44 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | TC · Technical part | $97.72 | $97.72 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $2,398.83 | Facility | None | $123.03 | $524.81 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $141.25 Median $436.52 Typical High $2,570.40 | Professional | None (both parts) | $141.25 | $436.52 | $2,570.40 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $190.55 Typical High $1,202.26 | Professional | 26 · Professional part | $77.62 | $190.55 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $323.59 Typical High $1,445.44 | Professional | TC · Technical part | $112.20 | $323.59 | $1,445.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Facility | None | $363.08 | $416.87 | $549.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $186.21 | $269.15 | $269.15 |
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 $309.03 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $309.03 | $309.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $134.90 | $134.90 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $169.82 | $177.83 | $269.15 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $117.49 Typical High $257.04 | Facility | None | $53.70 | $117.49 | $257.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $53.70 | $117.49 | $251.19 |
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 $213.80 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $213.80 | $398.11 | $588.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $89.13 | $162.18 | $245.47 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $131.83 | $257.04 | $354.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $2,398.83 | Facility | None | $123.03 | $524.81 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $141.25 Median $436.52 Typical High $2,570.40 | Professional | None (both parts) | $141.25 | $436.52 | $2,570.40 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $190.55 Typical High $1,202.26 | Professional | 26 · Professional part | $77.62 | $190.55 | $1,202.26 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $323.59 Typical High $1,445.44 | Professional | TC · Technical part | $112.20 | $323.59 | $1,445.44 |
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 $208.93 Median $295.12 Typical High $870.96 | Professional | None (both parts) | $208.93 | $295.12 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $346.74 | Professional | 26 · Professional part | $85.11 | $117.49 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $524.81 | Professional | TC · Technical part | $123.03 | $186.21 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $281.84 | Facility | None | $144.54 | $173.78 | $281.84 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $109.65 | Facility | 26 · Professional part | $53.70 | $70.79 | $109.65 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $173.78 | Facility | TC · Technical part | $83.18 | $104.71 | $173.78 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $138.04 | $138.04 | $165.96 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Massachusetts sits
The same service costs 4.3 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· 34th of 51
$195
WI $562HI $132
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.