How much rates vary
Facilitymedian $25 · 10th to 90th $3 to $79Professionalmedian $38 · 10th to 90th $5 to $724
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 $26.92 Median $81.28 Typical High $194.98 | Facility | None | $26.92 | $81.28 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $64.57 | Professional | None (both parts) | $26.92 | $26.92 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $7.24 | Professional | 26 · Professional part | $3.24 | $3.24 | $7.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $23.99 | $56.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $95.50 | Facility | None | $67.61 | $70.79 | $95.50 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $27.54 Median $112.20 Typical High $724.44 | Professional | None (both parts) | $27.54 | $112.20 | $724.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $9.33 Typical High $288.40 | Professional | 26 · Professional part | $3.47 | $9.33 | $288.40 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $70.79 Typical High $676.08 | Professional | TC · Technical part | $24.55 | $70.79 | $676.08 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $83.18 | Facility | None | $53.70 | $63.10 | $83.18 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $28.84 | $43.65 | $74.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $4.37 Typical High $8.13 | Professional | 26 · Professional part | $3.80 | $4.37 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $35.48 | $46.77 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $5.62 Typical High $8.51 | Professional | 26 · Professional part | $4.47 | $5.62 | $8.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $40.74 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $2.51 Median $16.98 Typical High $38.90 | Facility | None | $2.51 | $16.98 | $38.90 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $2.51 Median $16.98 Typical High $38.02 | Professional | None (both parts) | $2.51 | $16.98 | $38.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $28.84 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $28.84 | $57.54 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $7.41 Typical High $11.22 | Professional | 26 · Professional part | $3.89 | $7.41 | $11.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $97.72 | Professional | TC · Technical part | $24.55 | $47.86 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $38.90 Median $457.09 Typical High $831.76 | Facility | None | $38.90 | $457.09 | $831.76 |
Health New England Setting Professional Modifier None (both parts) Typical Low $5.62 Median $7.76 Typical High $21.38 | Professional | None (both parts) | $5.62 | $7.76 | $21.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $95.50 | Facility | None | $67.61 | $70.79 | $95.50 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $27.54 Median $112.20 Typical High $724.44 | Professional | None (both parts) | $27.54 | $112.20 | $724.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $9.33 Typical High $288.40 | Professional | 26 · Professional part | $3.47 | $9.33 | $288.40 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $70.79 Typical High $676.08 | Professional | TC · Technical part | $24.55 | $70.79 | $676.08 |
Tufts Setting Facility Modifier None Typical Low $18.62 Median $338.84 Typical High $489.78 | Facility | None | $18.62 | $338.84 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $18.62 Median $32.36 Typical High $38.90 | Professional | None (both parts) | $18.62 | $32.36 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $58.88 Typical High $147.91 | Professional | None (both parts) | $25.12 | $58.88 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.79 Typical High $14.13 | Professional | 26 · Professional part | $3.24 | $4.79 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $45.71 Typical High $128.82 | Professional | TC · Technical part | $22.39 | $45.71 | $128.82 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $25.70 Typical High $38.02 | Facility | None | $18.62 | $25.70 | $38.02 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $2.24 Median $2.95 Typical High $5.25 | Facility | 26 · Professional part | $2.24 | $2.95 | $5.25 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $38.02 | Facility | TC · Technical part | $16.22 | $21.38 | $38.02 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | None (both parts) | $33.88 | $33.88 | $40.74 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.09 Typical High $3.72 | Professional | 26 · Professional part | $2.95 | $3.09 | $3.72 |
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 $13.49 Median $13.49 Typical High $30.20 | Professional | 52 · Reduced service | $13.49 | $13.49 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $12.02 | Professional | 53 · Discontinued | $5.37 | $5.37 | $12.02 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $26.92 Typical High $37.15 | Professional | 52 · Reduced service | $16.60 | $26.92 | $37.15 |
Where Massachusetts sits
The same service costs 2.9 times more in Kansas 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· 29th of 51
$36.31
KS $74.13MD $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.