How much rates vary
Facilitymedian $28 · 10th to 90th $10 to $117Professionalmedian $40 · 10th to 90th $16 to $363
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 $30.90 Median $30.90 Typical High $134.90 | Facility | None | $30.90 | $30.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None (both parts) | $30.90 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | TC · Technical part | $19.05 | $19.05 | $23.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $141.25 | Facility | None | $93.33 | $125.89 | $141.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $22.39 Median $93.33 Typical High $363.08 | Professional | None (both parts) | $22.39 | $93.33 | $363.08 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $234.42 | Professional | 26 · Professional part | $13.49 | $35.48 | $234.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $61.66 Typical High $281.84 | Professional | TC · Technical part | $21.38 | $61.66 | $281.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $134.90 | Facility | None | $87.10 | $100.00 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $102.33 Typical High $144.54 | Facility | None | $30.20 | $102.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $54.95 | $63.10 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $18.20 | $22.91 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $39.81 | $57.54 |
Fallon Health Setting Facility Modifier None Typical Low $9.12 Median $22.39 Typical High $51.29 | Facility | None | $9.12 | $22.39 | $51.29 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $21.38 Typical High $46.77 | Professional | None (both parts) | $9.12 | $21.38 | $46.77 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $100.00 | Professional | None (both parts) | $25.12 | $39.81 | $100.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $14.79 | $24.55 | $39.81 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $45.71 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $141.25 | Facility | None | $93.33 | $125.89 | $141.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $22.39 Median $93.33 Typical High $363.08 | Professional | None (both parts) | $22.39 | $93.33 | $363.08 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $234.42 | Professional | 26 · Professional part | $13.49 | $35.48 | $234.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $61.66 Typical High $281.84 | Professional | TC · Technical part | $21.38 | $61.66 | $281.84 |
United Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $234.42 | Facility | None | $83.18 | $154.88 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $34.67 | $70.79 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $14.13 | $20.89 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $51.29 Typical High $70.79 | Professional | TC · Technical part | $20.89 | $51.29 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $30.20 Typical High $45.71 | Facility | None | $18.62 | $30.20 | $45.71 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $20.89 | Facility | 26 · Professional part | $8.91 | $11.48 | $20.89 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $13.18 Median $17.38 Typical High $30.90 | Facility | TC · Technical part | $13.18 | $17.38 | $30.90 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None (both parts) | $28.84 | $28.84 | $34.67 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $12.30 | Professional | 26 · Professional part | $9.77 | $10.23 | $12.30 |
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 $15.49 Median $15.49 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.08 |
Where Massachusetts sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 27th of 51
$39.81
MN $74.13AL $28.18
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.