How much rates vary
Facilitymedian $105 · 10th to 90th $20 to $479Professionalmedian $141 · 10th to 90th $41 to $692
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 $128.82 Median $204.17 Typical High $281.84 | Facility | None | $128.82 | $204.17 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $117.49 | $128.82 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $25.70 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $104.71 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $288.40 Median $371.54 Typical High $588.84 | Facility | None | $288.40 | $371.54 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $104.71 | $295.12 | $691.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $281.84 | Professional | 26 · Professional part | $26.92 | $70.79 | $281.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $87.10 | $234.42 | $478.63 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Facility | None | $363.08 | $416.87 | $549.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $91.20 | $123.03 | $208.93 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $44.67 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $446.68 Typical High $1,096.48 | Facility | None | $128.82 | $446.68 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $134.90 | $194.98 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $45.71 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $151.36 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $18.20 Median $69.18 Typical High $151.36 | Facility | None | $18.20 | $69.18 | $151.36 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $69.18 Typical High $158.49 | Professional | None (both parts) | $18.20 | $69.18 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $114.82 | $223.87 | $363.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $29.51 | $54.95 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $169.82 | $257.04 |
Health New England Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $741.31 | Facility | None | $346.74 | $457.09 | $741.31 |
Health New England Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $61.66 | Professional | None (both parts) | $51.29 | $60.26 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $288.40 Median $371.54 Typical High $588.84 | Facility | None | $288.40 | $371.54 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $104.71 | $295.12 | $691.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $281.84 | Professional | 26 · Professional part | $26.92 | $70.79 | $281.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $87.10 | $234.42 | $478.63 |
Tufts Setting Facility Modifier None Typical Low $77.62 Median $288.40 Typical High $724.44 | Facility | None | $77.62 | $288.40 | $724.44 |
Tufts Setting Professional Modifier None (both parts) Typical Low $77.62 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $77.62 | $158.49 | $331.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $467.74 | Professional | None (both parts) | $100.00 | $144.54 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $114.82 | Professional | 26 · Professional part | $26.30 | $34.67 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $363.08 | Professional | TC · Technical part | $75.86 | $112.20 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $158.49 | Facility | None | $77.62 | $107.15 | $158.49 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $42.66 | Facility | 26 · Professional part | $18.20 | $23.99 | $42.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $138.04 | Facility | TC · Technical part | $58.88 | $77.62 | $138.04 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $85.11 | $85.11 | $102.33 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $21.88 | $26.30 |
3 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 $58.88 Median $64.57 Typical High $93.33 | Professional | 52 · Reduced service | $58.88 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $37.15 | Professional | 53 · Discontinued | $23.44 | $25.70 | $37.15 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $19.05 Typical High $31.62 | Professional | 52 · Reduced service | $13.80 | $19.05 | $31.62 |
Where Massachusetts sits
The same service costs 3.8 times more in Minnesota 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· 22nd of 51
$138
MN $275UT $72.44
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.