How much rates vary
Facilitymedian $214 · 10th to 90th $49 to $1,000Professionalmedian $316 · 10th to 90th $91 to $1,445
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 $245.47 Median $245.47 Typical High $741.31 | Facility | None | $245.47 | $245.47 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $234.42 | $245.47 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $60.26 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $169.82 | $181.97 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,148.15 | Facility | None | $616.60 | $891.25 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $239.88 Median $645.65 Typical High $1,445.44 | Professional | None (both parts) | $239.88 | $645.65 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $169.82 Typical High $512.86 | Professional | 26 · Professional part | $67.61 | $169.82 | $512.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $190.55 | $501.19 | $1,047.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,202.26 | Facility | None | $776.25 | $891.25 | $1,202.26 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $234.42 | $251.19 | $416.87 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $977.24 Typical High $2,884.03 | Facility | None | $275.42 | $977.24 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $295.12 | $436.52 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $112.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $223.87 | $323.59 | $512.86 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $147.91 Typical High $323.59 | Facility | None | $44.67 | $147.91 | $323.59 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $147.91 Typical High $346.74 | Professional | None (both parts) | $44.67 | $147.91 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $263.03 Median $489.78 Typical High $870.96 | Professional | None (both parts) | $263.03 | $489.78 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $131.83 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $354.81 | $562.34 |
Health New England Setting Facility Modifier None Typical Low $602.56 Median $1,445.44 Typical High $1,819.70 | Facility | None | $602.56 | $1,445.44 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,148.15 | Facility | None | $616.60 | $891.25 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $239.88 Median $645.65 Typical High $1,445.44 | Professional | None (both parts) | $239.88 | $645.65 | $1,445.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $169.82 Typical High $512.86 | Professional | 26 · Professional part | $67.61 | $169.82 | $512.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $190.55 | $501.19 | $1,047.13 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $1,023.29 | Professional | None (both parts) | $239.88 | $331.13 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $288.40 | Professional | 26 · Professional part | $64.57 | $87.10 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $831.76 | Professional | TC · Technical part | $173.78 | $245.47 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $354.81 | Facility | None | $173.78 | $239.88 | $354.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $104.71 | Facility | 26 · Professional part | $44.67 | $58.88 | $104.71 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $295.12 | Facility | TC · Technical part | $128.82 | $165.96 | $295.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $165.96 | $165.96 | $199.53 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $52.48 | $63.10 |
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 $120.23 Median $120.23 Typical High $208.93 | Professional | 52 · Reduced service | $120.23 | $120.23 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | 53 · Discontinued | $48.98 | $48.98 | $83.18 |
Where Massachusetts sits
The same service costs 3.5 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· 21st of 51
$302
AK $562UT $158
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.