How much rates vary
Facilitymedian $1,175 · 10th to 90th $158 to $5,623Professionalmedian $1,096 · 10th to 90th $162 to $4,169
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 $1,318.26 Median $2,570.40 Typical High $6,760.83 | Facility | None | $1,318.26 | $2,570.40 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,258.93 | Professional | None (both parts) | $812.83 | $812.83 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,023.29 | Professional | TC · Technical part | $676.08 | $676.08 | $1,023.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $776.25 Median $2,511.89 Typical High $6,606.93 | Facility | None | $776.25 | $2,511.89 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $812.83 Median $2,454.71 Typical High $5,888.44 | Professional | None (both parts) | $812.83 | $2,454.71 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $331.13 Typical High $812.83 | Professional | 26 · Professional part | $131.83 | $331.13 | $812.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $2,137.96 Typical High $5,011.87 | Professional | TC · Technical part | $758.58 | $2,137.96 | $5,011.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $6,760.83 | Facility | None | $4,365.16 | $5,128.61 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $10,715.19 | Facility | None | $2,290.87 | $3,235.94 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,659.59 Typical High $2,818.38 | Professional | None (both parts) | $1,513.56 | $1,659.59 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $371.54 | Professional | 26 · Professional part | $234.42 | $234.42 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,412.54 Typical High $2,454.71 | Professional | TC · Technical part | $1,230.27 | $1,412.54 | $2,454.71 |
Fallon Health Setting Facility Modifier None Typical Low $93.33 Median $602.56 Typical High $1,412.54 | Facility | None | $93.33 | $602.56 | $1,412.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $602.56 Typical High $1,318.26 | Professional | None (both parts) | $93.33 | $602.56 | $1,318.26 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,949.84 Typical High $4,168.69 | Professional | None (both parts) | $1,023.29 | $1,949.84 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $281.84 Typical High $426.58 | Professional | 26 · Professional part | $154.88 | $281.84 | $426.58 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,621.81 Typical High $2,398.83 | Professional | TC · Technical part | $870.96 | $1,621.81 | $2,398.83 |
Health New England Setting Facility Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $5,128.61 | Facility | None | $3,715.35 | $4,365.16 | $5,128.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $776.25 Median $2,511.89 Typical High $6,606.93 | Facility | None | $776.25 | $2,511.89 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $812.83 Median $2,454.71 Typical High $5,888.44 | Professional | None (both parts) | $812.83 | $2,454.71 | $5,888.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $331.13 Typical High $812.83 | Professional | 26 · Professional part | $131.83 | $331.13 | $812.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $2,137.96 Typical High $5,011.87 | Professional | TC · Technical part | $758.58 | $2,137.96 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,715.19 | Facility | None | $1,071.52 | $3,467.37 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,412.54 Typical High $4,168.69 | Professional | None (both parts) | $1,023.29 | $1,412.54 | $4,168.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $229.09 Typical High $602.56 | Professional | 26 · Professional part | $165.96 | $229.09 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,288.25 Typical High $3,548.13 | Professional | TC · Technical part | $870.96 | $1,288.25 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,445.44 | Facility | None | $758.58 | $1,174.90 | $1,445.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $218.78 | Facility | 26 · Professional part | $93.33 | $120.23 | $218.78 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $758.58 Typical High $1,380.38 | Facility | TC · Technical part | $588.84 | $758.58 | $1,380.38 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | None (both parts) | $660.69 | $660.69 | $794.33 |
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 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
BCBS Massachusetts Setting Facility Modifier 74 · Stopped after anesthesia Typical Low $2,238.72 Median $2,511.89 Typical High $3,388.44 | Facility | 74 · Stopped after anesthesia | $2,238.72 | $2,511.89 | $3,388.44 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $426.58 Median $436.52 Typical High $602.56 | Professional | AS · PA/NP assist | $426.58 | $436.52 | $602.56 |
Where Massachusetts sits
The same service costs 4.3 times more in Wisconsin 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· 37th of 51
$1,148
WI $3,467NY $813
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.