How much rates vary
Facilitymedian $166 · 10th to 90th $55 to $1,000Professionalmedian $257 · 10th to 90th $89 to $1,660
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 $245.47 Median $380.19 Typical High $794.33 | Facility | None | $245.47 | $380.19 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $223.87 | $245.47 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $67.61 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $177.83 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $660.69 Typical High $1,148.15 | Facility | None | $512.86 | $660.69 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $177.83 Median $537.03 Typical High $1,659.59 | Professional | None (both parts) | $177.83 | $537.03 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $190.55 Typical High $741.31 | Professional | 26 · Professional part | $74.13 | $190.55 | $741.31 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $114.82 | $371.54 | $977.24 |
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 None (both parts) Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $144.54 | $186.21 | $218.78 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $104.71 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $977.24 Typical High $1,995.26 | Facility | None | $204.17 | $977.24 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $251.19 | $363.08 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $125.89 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $239.88 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $123.03 Typical High $263.03 | Facility | None | $50.12 | $123.03 | $263.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $125.89 Typical High $281.84 | Professional | None (both parts) | $50.12 | $125.89 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $199.53 | $407.38 | $724.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $151.36 | $223.87 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $125.89 | $263.03 | $398.11 |
Health New England Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $1,621.81 | Facility | None | $660.69 | $1,445.44 | $1,621.81 |
Health New England Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $128.82 | $169.82 | $169.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $660.69 Typical High $1,148.15 | Facility | None | $512.86 | $660.69 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $177.83 Median $537.03 Typical High $1,659.59 | Professional | None (both parts) | $177.83 | $537.03 | $1,659.59 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $190.55 Typical High $741.31 | Professional | 26 · Professional part | $74.13 | $190.55 | $741.31 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $114.82 | $371.54 | $977.24 |
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 $177.83 Median $269.15 Typical High $870.96 | Professional | None (both parts) | $177.83 | $269.15 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $316.23 | Professional | 26 · Professional part | $72.44 | $97.72 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $588.84 | Professional | TC · Technical part | $97.72 | $177.83 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $295.12 | Facility | None | $144.54 | $199.53 | $295.12 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $117.49 | Facility | 26 · Professional part | $50.12 | $66.07 | $117.49 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $218.78 | Facility | TC · Technical part | $95.50 | $123.03 | $218.78 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $165.96 | $165.96 | $199.53 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $58.88 | $61.66 | $74.13 |
4 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 $112.20 Median $123.03 Typical High $177.83 | Professional | 52 · Reduced service | $112.20 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $70.79 | Professional | 53 · Discontinued | $44.67 | $48.98 | $70.79 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $389.05 Median $446.68 Typical High $602.56 | Facility | 52 · Reduced service | $389.05 | $446.68 | $602.56 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $199.53 Typical High $281.84 | Professional | 52 · Reduced service | $123.03 | $199.53 | $281.84 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska 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· 23rd of 51
$251
AK $468UT $120
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.