How much rates vary
Facilitymedian $151 · 10th to 90th $28 to $1,000Professionalmedian $214 · 10th to 90th $52 to $1,023
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 $158.49 Median $158.49 Typical High $457.09 | Facility | None | $158.49 | $158.49 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $363.08 | Professional | None (both parts) | $154.88 | $158.49 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $34.67 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $123.03 | $239.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $1,148.15 | Facility | None | $436.52 | $562.34 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $144.54 Median $457.09 Typical High $1,023.29 | Professional | None (both parts) | $144.54 | $457.09 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $97.72 Typical High $281.84 | Professional | 26 · Professional part | $38.90 | $97.72 | $281.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $371.54 Typical High $794.33 | Professional | TC · Technical part | $125.89 | $371.54 | $794.33 |
BCBS 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 Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $147.91 | $190.55 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $977.24 Typical High $1,995.26 | Facility | None | $208.93 | $977.24 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $199.53 | $309.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $151.36 | $239.88 | $389.05 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $104.71 Typical High $229.09 | Facility | None | $25.70 | $104.71 | $229.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $104.71 Typical High $239.88 | Professional | None (both parts) | $25.70 | $104.71 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $162.18 | $338.84 | $616.60 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $75.86 | $114.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $125.89 | $263.03 | $416.87 |
Health New England Setting Facility Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,258.93 | $1,380.38 | $1,445.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $1,148.15 | Facility | None | $436.52 | $562.34 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $144.54 Median $457.09 Typical High $1,023.29 | Professional | None (both parts) | $144.54 | $457.09 | $1,023.29 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $97.72 Typical High $281.84 | Professional | 26 · Professional part | $38.90 | $97.72 | $281.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $371.54 Typical High $794.33 | Professional | TC · Technical part | $125.89 | $371.54 | $794.33 |
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 $141.25 Median $229.09 Typical High $741.31 | Professional | None (both parts) | $141.25 | $229.09 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $165.96 | Professional | 26 · Professional part | $37.15 | $50.12 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $602.56 | Professional | TC · Technical part | $107.15 | $177.83 | $602.56 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $251.19 | Facility | None | $123.03 | $169.82 | $251.19 |
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 $95.50 Median $125.89 Typical High $223.87 | Facility | TC · Technical part | $95.50 | $125.89 | $223.87 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $104.71 | $104.71 | $125.89 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $28.84 | $30.20 | $36.31 |
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 $79.43 Median $79.43 Typical High $144.54 | Professional | 52 · Reduced service | $79.43 | $79.43 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $58.88 | Professional | 53 · Discontinued | $31.62 | $31.62 | $58.88 |
Where Massachusetts sits
The same service costs 3.0 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· 17th of 51
$209
AK $380UT $129
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.