How much rates vary
Facilitymedian $60 · 10th to 90th $27 to $126Professionalmedian $93 · 10th to 90th $47 to $562
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 $57.54 Median $57.54 Typical High $213.80 | Facility | None | $57.54 | $57.54 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $57.54 | $57.54 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $36.31 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $20.89 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $81.28 Median $204.17 Typical High $281.84 | Facility | None | $81.28 | $204.17 | $281.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $61.66 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $61.66 | $218.78 | $562.34 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $104.71 Typical High $245.47 | Professional | 26 · Professional part | $40.74 | $104.71 | $245.47 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $131.83 Typical High $288.40 | Professional | TC · Technical part | $30.20 | $131.83 | $288.40 |
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 None (both parts) Typical Low $79.43 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $79.43 | $131.83 | $245.47 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $56.23 | $107.15 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $302.00 | Professional | TC · Technical part | $67.61 | $97.72 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $77.62 Typical High $173.78 | Facility | None | $44.67 | $77.62 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $102.33 | $151.36 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $67.61 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $41.69 | $85.11 | $125.89 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $53.70 Typical High $109.65 | Facility | None | $25.70 | $53.70 | $109.65 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $25.70 | $53.70 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $50.12 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $50.12 | $144.54 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $75.86 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $39.81 | $95.50 | $131.83 |
Health New England Setting Facility Modifier None Typical Low $46.77 Median $263.03 Typical High $398.11 | Facility | None | $46.77 | $263.03 | $398.11 |
Health New England Setting Professional Modifier None (both parts) Typical Low $66.07 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $66.07 | $309.03 | $309.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $81.28 Median $204.17 Typical High $281.84 | Facility | None | $81.28 | $204.17 | $281.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $61.66 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $61.66 | $218.78 | $562.34 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $104.71 Typical High $245.47 | Professional | 26 · Professional part | $40.74 | $104.71 | $245.47 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $131.83 Typical High $288.40 | Professional | TC · Technical part | $30.20 | $131.83 | $288.40 |
Tufts Setting Facility Modifier None Typical Low $63.10 Median $426.58 Typical High $426.58 | Facility | None | $63.10 | $426.58 | $426.58 |
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 $75.86 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $75.86 | $120.23 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $40.74 | $64.57 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $30.90 | $64.57 | $131.83 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $125.89 | Facility | None | $61.66 | $85.11 | $125.89 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $27.54 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $79.43 | Facility | TC · Technical part | $34.67 | $44.67 | $79.43 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $50.12 | $50.12 | $58.88 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $34.67 | $41.69 |
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 $28.84 Median $28.84 Typical High $36.31 | Professional | 52 · Reduced service | $28.84 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 53 · Discontinued | $11.48 | $11.48 | $14.45 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in New York. 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· 20th of 51
$89.13
AK $182NY $53.70
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.