How much rates vary
Facilitymedian $1,122 · 10th to 90th $282 to $5,754Professionalmedian $1,072 · 10th to 90th $288 to $4,365
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 $2,691.53 Median $4,265.80 Typical High $7,762.47 | Facility | None | $2,691.53 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None (both parts) | $891.25 | $891.25 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | 26 · Professional part | $234.42 | $234.42 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | TC · Technical part | $660.69 | $660.69 | $812.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $776.25 Median $2,570.40 Typical High $6,606.93 | Facility | None | $776.25 | $2,570.40 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $870.96 Median $2,454.71 Typical High $6,025.60 | Professional | None (both parts) | $870.96 | $2,454.71 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $602.56 Typical High $1,445.44 | Professional | 26 · Professional part | $239.88 | $602.56 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,905.46 Typical High $4,570.88 | Professional | TC · Technical part | $724.44 | $1,905.46 | $4,570.88 |
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 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $575.44 | $831.76 | $831.76 |
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 $1,698.24 Median $1,698.24 Typical High $2,884.03 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $660.69 | Professional | 26 · Professional part | $416.87 | $416.87 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,288.25 Typical High $2,238.72 | Professional | TC · Technical part | $1,202.26 | $1,288.25 | $2,238.72 |
Fallon Health Setting Facility Modifier None Typical Low $165.96 Median $602.56 Typical High $1,380.38 | Facility | None | $165.96 | $602.56 | $1,380.38 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $588.84 Typical High $1,288.25 | Professional | None (both parts) | $165.96 | $588.84 | $1,288.25 |
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 $1,071.52 Median $2,041.74 Typical High $4,365.16 | Professional | None (both parts) | $1,071.52 | $2,041.74 | $4,365.16 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $512.86 Typical High $758.58 | Professional | 26 · Professional part | $281.84 | $512.86 | $758.58 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,445.44 Typical High $2,137.96 | Professional | TC · Technical part | $776.25 | $1,445.44 | $2,137.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $776.25 Median $2,570.40 Typical High $6,606.93 | Facility | None | $776.25 | $2,570.40 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $870.96 Median $2,454.71 Typical High $6,025.60 | Professional | None (both parts) | $870.96 | $2,454.71 | $6,025.60 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $602.56 Typical High $1,445.44 | Professional | 26 · Professional part | $239.88 | $602.56 | $1,445.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,905.46 Typical High $4,570.88 | Professional | TC · Technical part | $724.44 | $1,905.46 | $4,570.88 |
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 $1,096.48 Median $1,479.11 Typical High $4,365.16 | Professional | None (both parts) | $1,096.48 | $1,479.11 | $4,365.16 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $416.87 Typical High $1,071.52 | Professional | 26 · Professional part | $288.40 | $416.87 | $1,071.52 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,174.90 Typical High $3,311.31 | Professional | TC · Technical part | $812.83 | $1,174.90 | $3,311.31 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,445.44 | Facility | None | $707.95 | $1,174.90 | $1,445.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $169.82 Median $218.78 Typical High $389.05 | Facility | 26 · Professional part | $169.82 | $218.78 | $389.05 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $691.83 Typical High $1,258.93 | Facility | TC · Technical part | $537.03 | $691.83 | $1,258.93 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $724.44 | $724.44 | $851.14 |
1 more rate 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 $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Where Massachusetts sits
The same service costs 4.2 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· 42nd of 51
$1,096
WI $3,631NY $871
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.