How much rates vary
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $478.63 | $478.63 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $295.12 | Professional | 26 · Professional part | $138.04 | $138.04 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $446.68 | $446.68 | $676.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,148.15 | Facility | None | $794.33 | $1,023.29 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $263.03 Median $891.25 Typical High $2,570.40 | Professional | None (both parts) | $263.03 | $891.25 | $2,570.40 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $354.81 Typical High $1,148.15 | Professional | 26 · Professional part | $138.04 | $354.81 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $831.76 Typical High $2,041.74 | Professional | TC · Technical part | $223.87 | $831.76 | $2,041.74 |
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 26 · Professional part Typical Low $138.04 Median $234.42 Typical High $660.69 | Professional | 26 · Professional part | $138.04 | $234.42 | $660.69 |
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 $363.08 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $363.08 | $478.63 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $354.81 | Professional | 26 · Professional part | $173.78 | $229.09 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $181.97 | $251.19 | $389.05 |
Fallon Health Setting Facility Modifier None Typical Low $87.10 Median $186.21 Typical High $407.38 | Facility | None | $87.10 | $186.21 | $407.38 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $87.10 | $186.21 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $354.81 Median $724.44 Typical High $1,737.80 | Professional | None (both parts) | $354.81 | $724.44 | $1,737.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $269.15 Typical High $389.05 | Professional | 26 · Professional part | $141.25 | $269.15 | $389.05 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $446.68 Typical High $1,584.89 | Professional | TC · Technical part | $204.17 | $446.68 | $1,584.89 |
Health New England Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,148.15 | Facility | None | $794.33 | $1,023.29 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $263.03 Median $891.25 Typical High $2,570.40 | Professional | None (both parts) | $263.03 | $891.25 | $2,570.40 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $354.81 Typical High $1,148.15 | Professional | 26 · Professional part | $138.04 | $354.81 | $1,148.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $831.76 Typical High $2,041.74 | Professional | TC · Technical part | $223.87 | $831.76 | $2,041.74 |
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 $338.84 Median $851.14 Typical High $2,884.03 | Professional | None (both parts) | $338.84 | $851.14 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $575.44 | Professional | 26 · Professional part | $131.83 | $177.83 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $691.83 Typical High $2,344.23 | Professional | TC · Technical part | $177.83 | $691.83 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $446.68 | Facility | None | $223.87 | $281.84 | $446.68 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $208.93 | Facility | 26 · Professional part | $91.20 | $120.23 | $208.93 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $478.63 Typical High $912.01 | Facility | TC · Technical part | $162.18 | $478.63 | $912.01 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $234.42 | $234.42 | $281.84 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $112.20 | $112.20 | $134.90 |
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 $239.88 Median $239.88 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $95.50 | $120.23 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 34th of 51
$479
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.