How much rates vary
Facilitymedian $195 · 10th to 90th $65 to $501Professionalmedian $316 · 10th to 90th $110 to $1,259
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $102.33 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $102.33 | $112.20 | $112.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,000.00 | Facility | None | $660.69 | $724.44 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $218.78 Median $707.95 Typical High $1,258.93 | Professional | None (both parts) | $218.78 | $707.95 | $1,258.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $245.47 Typical High $549.54 | Professional | 26 · Professional part | $93.33 | $245.47 | $549.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $489.78 Typical High $1,096.48 | Professional | TC · Technical part | $173.78 | $489.78 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $602.56 | Facility | None | $389.05 | $457.09 | $602.56 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $162.18 Typical High $316.23 | Professional | 26 · Professional part | $95.50 | $162.18 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $257.04 | $338.84 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $158.49 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $158.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $128.82 | $177.83 | $269.15 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $141.25 Typical High $338.84 | Facility | None | $60.26 | $141.25 | $338.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $141.25 Typical High $354.81 | Professional | None (both parts) | $60.26 | $141.25 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $281.84 | $562.34 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $102.33 | $190.55 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $371.54 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,000.00 | Facility | None | $660.69 | $724.44 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $218.78 Median $707.95 Typical High $1,258.93 | Professional | None (both parts) | $218.78 | $707.95 | $1,258.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $245.47 Typical High $549.54 | Professional | 26 · Professional part | $93.33 | $245.47 | $549.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $489.78 Typical High $1,096.48 | Professional | TC · Technical part | $173.78 | $489.78 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $251.19 | $346.74 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $416.87 | Professional | 26 · Professional part | $93.33 | $123.03 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $758.58 | Professional | TC · Technical part | $158.49 | $229.09 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $398.11 | Facility | None | $199.53 | $245.47 | $398.11 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $144.54 | Facility | 26 · Professional part | $64.57 | $83.18 | $144.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $288.40 | Facility | TC · Technical part | $128.82 | $162.18 | $288.40 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $194.98 | $194.98 | $234.42 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $69.18 | $74.13 | $89.13 |
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 $100.00 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $42.66 | $42.66 |
Where Massachusetts sits
The same service costs 3.1 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· 16th of 51
$309
AK $537NY $174
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.