How much rates vary
Facilitymedian $59 · 10th to 90th $25 to $115Professionalmedian $93 · 10th to 90th $47 to $457
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None (both parts) | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $23.44 | $23.44 | $30.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $229.09 | Facility | None | $81.28 | $95.50 | $229.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $64.57 Median $194.98 Typical High $457.09 | Professional | None (both parts) | $64.57 | $194.98 | $457.09 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $38.90 | $95.50 | $229.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $23.44 | $97.72 | $229.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $89.13 | Facility | None | $57.54 | $67.61 | $89.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $66.07 Typical High $199.53 | Professional | 26 · Professional part | $33.88 | $66.07 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $100.00 | $134.90 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $66.07 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $70.79 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $112.20 | Facility | None | $24.55 | $48.98 | $112.20 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $48.98 Typical High $107.15 | Professional | None (both parts) | $24.55 | $48.98 | $107.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $79.43 | $138.04 | $213.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $72.44 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $70.79 | $104.71 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $229.09 | Facility | None | $81.28 | $95.50 | $229.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $64.57 Median $194.98 Typical High $457.09 | Professional | None (both parts) | $64.57 | $194.98 | $457.09 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $38.90 | $95.50 | $229.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $23.44 | $97.72 | $229.09 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $72.44 | $109.65 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $29.51 | $56.23 | $109.65 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $112.20 | Facility | None | $54.95 | $75.86 | $112.20 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $61.66 | Facility | 26 · Professional part | $26.30 | $34.67 | $61.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $64.57 | Facility | TC · Technical part | $27.54 | $36.31 | $64.57 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None (both parts) | $43.65 | $43.65 | $52.48 |
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 $30.20 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.88 |
Where Massachusetts sits
The same service costs 3.3 times more in Alaska 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· 16th of 51
$91.20
AK $162UT $48.98
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.