How much rates vary
Facilitymedian $87 · 10th to 90th $41 to $646Professionalmedian $141 · 10th to 90th $66 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 $112.20 Median $112.20 Typical High $398.11 | Facility | None | $112.20 | $112.20 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | TC · Technical part | $57.54 | $57.54 | $60.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $446.68 Typical High $676.08 | Facility | None | $316.23 | $446.68 | $676.08 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $85.11 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $85.11 | $323.59 | $851.14 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $154.88 Typical High $575.44 | Professional | 26 · Professional part | $61.66 | $154.88 | $575.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $177.83 Typical High $575.44 | Professional | TC · Technical part | $57.54 | $177.83 | $575.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $831.76 | Facility | None | $537.03 | $630.96 | $831.76 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $79.43 | $114.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $602.56 Typical High $977.24 | Facility | None | $100.00 | $602.56 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $169.82 | $223.87 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $100.00 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $120.23 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $77.62 Typical High $162.18 | Facility | None | $37.15 | $77.62 | $162.18 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $37.15 | $79.43 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $134.90 | $234.42 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $112.20 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $125.89 | $181.97 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $446.68 Typical High $676.08 | Facility | None | $316.23 | $446.68 | $676.08 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $85.11 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $85.11 | $323.59 | $851.14 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $154.88 Typical High $575.44 | Professional | 26 · Professional part | $61.66 | $154.88 | $575.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $177.83 Typical High $575.44 | Professional | TC · Technical part | $57.54 | $177.83 | $575.44 |
United Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,737.80 | Facility | None | $630.96 | $1,174.90 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $120.23 | $186.21 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $97.72 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $102.33 | $190.55 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $173.78 | Facility | None | $72.44 | $117.49 | $173.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $93.33 | Facility | 26 · Professional part | $39.81 | $52.48 | $93.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $102.33 | Facility | TC · Technical part | $44.67 | $57.54 | $102.33 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $93.33 | $93.33 | $112.20 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $48.98 | $58.88 |
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 $56.23 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.99 |
Where Massachusetts sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 25th of 51
$138
MN $269UT $70.79
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.