How much rates vary
Facilitymedian $23 · 10th to 90th $6 to $65Professionalmedian $38 · 10th to 90th $11 to $646
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 $28.18 Median $28.18 Typical High $117.49 | Facility | None | $28.18 | $28.18 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $67.61 | Professional | None (both parts) | $28.18 | $28.18 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $16.60 | Professional | 26 · Professional part | $6.92 | $6.92 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $21.38 | $50.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $70.79 Median $75.86 Typical High $102.33 | Facility | None | $70.79 | $75.86 | $102.33 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $28.84 Median $75.86 Typical High $645.65 | Professional | None (both parts) | $28.84 | $75.86 | $645.65 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $20.42 Typical High $229.09 | Professional | 26 · Professional part | $7.94 | $20.42 | $229.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $56.23 Typical High $537.03 | Professional | TC · Technical part | $21.38 | $56.23 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $74.13 | Facility | None | $47.86 | $56.23 | $74.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $31.62 | $39.81 | $67.61 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $12.02 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $38.02 | $48.98 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $12.88 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $27.54 | $36.31 | $58.88 |
Fallon Health Setting Facility Modifier None Typical Low $5.37 Median $17.38 Typical High $39.81 | Facility | None | $5.37 | $17.38 | $39.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $5.37 Median $16.98 Typical High $38.90 | Professional | None (both parts) | $5.37 | $16.98 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $21.88 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $21.88 | $54.95 | $85.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $8.51 | $16.22 | $24.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $45.71 | $72.44 |
Health New England Setting Facility Modifier None Typical Low $33.88 Median $125.89 Typical High $263.03 | Facility | None | $33.88 | $125.89 | $263.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.49 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $13.49 | $17.78 | $17.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $70.79 Median $75.86 Typical High $102.33 | Facility | None | $70.79 | $75.86 | $102.33 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $28.84 Median $75.86 Typical High $645.65 | Professional | None (both parts) | $28.84 | $75.86 | $645.65 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $20.42 Typical High $229.09 | Professional | 26 · Professional part | $7.94 | $20.42 | $229.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $56.23 Typical High $537.03 | Professional | TC · Technical part | $21.38 | $56.23 | $537.03 |
Tufts Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $26.92 | $54.95 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $33.11 | Professional | 26 · Professional part | $7.59 | $10.00 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $40.74 Typical High $95.50 | Professional | TC · Technical part | $19.95 | $40.74 | $95.50 |
Well Sense Setting Facility Modifier None Typical Low $19.50 Median $27.54 Typical High $40.74 | Facility | None | $19.50 | $27.54 | $40.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.25 Median $6.92 Typical High $12.02 | Facility | 26 · Professional part | $5.25 | $6.92 | $12.02 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $19.05 Typical High $33.88 | Facility | TC · Technical part | $14.45 | $19.05 | $33.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None (both parts) | $24.55 | $24.55 | $29.51 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.61 Typical High $7.94 | Professional | 26 · Professional part | $6.17 | $6.61 | $7.94 |
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 $14.13 Median $14.13 Typical High $23.99 | Professional | 52 · Reduced service | $14.13 | $14.13 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $9.55 | Professional | 53 · Discontinued | $5.62 | $5.62 | $9.55 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $27.54 Typical High $38.90 | Professional | 52 · Reduced service | $16.98 | $27.54 | $38.90 |
Where Massachusetts sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 27th of 51
$37.15
MN $69.18MD $25.70
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.