How much rates vary
Facilitymedian $13 · 10th to 90th $6 to $59Professionalmedian $20 · 10th to 90th $8 to $100
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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | TC · Technical part | $9.12 | $9.12 | $9.12 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $20.89 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $20.89 | $81.28 | $100.00 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $10.00 | $51.29 | $51.29 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $10.47 | $48.98 | $48.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $77.62 | Facility | None | $50.12 | $57.54 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $47.86 Typical High $77.62 | Facility | None | $12.59 | $47.86 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $25.70 | $31.62 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $14.79 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $23.99 | Professional | TC · Technical part | $13.49 | $16.98 | $23.99 |
Fallon Health Setting Facility Modifier None Typical Low $5.75 Median $11.75 Typical High $24.55 | Facility | None | $5.75 | $11.75 | $24.55 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $5.75 Median $11.75 Typical High $23.99 | Professional | None (both parts) | $5.75 | $11.75 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $10.47 Median $20.89 Typical High $52.48 | Professional | None (both parts) | $10.47 | $20.89 | $52.48 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $20.42 | $26.30 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $21.38 Typical High $26.92 | Professional | TC · Technical part | $10.72 | $21.38 | $26.92 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $20.89 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $20.89 | $81.28 | $100.00 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $10.00 | $51.29 | $51.29 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $10.47 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $114.82 | Facility | None | $40.74 | $75.86 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $18.62 | $28.84 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.13 Typical High $26.30 | Professional | 26 · Professional part | $9.33 | $14.13 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $15.14 Typical High $26.92 | Professional | TC · Technical part | $9.33 | $15.14 | $26.92 |
Well Sense Setting Facility Modifier None Typical Low $6.03 Median $15.14 Typical High $23.99 | Facility | None | $6.03 | $15.14 | $23.99 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $8.32 Typical High $13.80 | Facility | 26 · Professional part | $6.03 | $8.32 | $13.80 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $6.76 Median $8.51 Typical High $14.13 | Facility | TC · Technical part | $6.76 | $8.51 | $14.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $6.03 Median $7.08 Typical High $14.45 | Professional | None (both parts) | $6.03 | $7.08 | $14.45 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Where Massachusetts sits
The same service costs 2.7 times more in Minnesota than in Florida. 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
$20.42
MN $38.02FL $14.13
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.