How much rates vary
Facilitymedian $1,288 · 10th to 90th $372 to $5,754Professionalmedian $1,380 · 10th to 90th $389 to $5,623
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 $1,148.15 Median $1,148.15 Typical High $1,412.54 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | 26 · Professional part | $309.03 | $309.03 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,047.13 | Professional | TC · Technical part | $851.14 | $851.14 | $1,047.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $776.25 Median $3,019.95 Typical High $6,606.93 | Facility | None | $776.25 | $3,019.95 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $3,162.28 Typical High $7,585.78 | Professional | None (both parts) | $1,122.02 | $3,162.28 | $7,585.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $794.33 Typical High $1,905.46 | Professional | 26 · Professional part | $316.23 | $794.33 | $1,905.46 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $2,344.23 Typical High $5,623.41 | Professional | TC · Technical part | $912.01 | $2,344.23 | $5,623.41 |
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 $776.25 Median $1,122.02 Typical High $1,122.02 | Professional | 26 · Professional part | $776.25 | $1,122.02 | $1,122.02 |
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 $2,187.76 Median $2,187.76 Typical High $3,630.78 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $891.25 | Professional | 26 · Professional part | $562.34 | $562.34 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,621.81 Typical High $2,754.23 | Professional | TC · Technical part | $1,548.82 | $1,621.81 | $2,754.23 |
Fallon Health Setting Facility Modifier None Typical Low $223.87 Median $758.58 Typical High $1,737.80 | Facility | None | $223.87 | $758.58 | $1,737.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $741.31 Typical High $1,659.59 | Professional | None (both parts) | $223.87 | $741.31 | $1,659.59 |
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 $1,348.96 Median $2,570.40 Typical High $5,623.41 | Professional | None (both parts) | $1,348.96 | $2,570.40 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $676.08 Typical High $1,023.29 | Professional | 26 · Professional part | $371.54 | $676.08 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,819.70 Typical High $2,691.53 | Professional | TC · Technical part | $977.24 | $1,819.70 | $2,691.53 |
Health New England Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $776.25 Median $3,019.95 Typical High $6,606.93 | Facility | None | $776.25 | $3,019.95 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $3,162.28 Typical High $7,585.78 | Professional | None (both parts) | $1,122.02 | $3,162.28 | $7,585.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $794.33 Typical High $1,905.46 | Professional | 26 · Professional part | $316.23 | $794.33 | $1,905.46 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $2,344.23 Typical High $5,623.41 | Professional | TC · Technical part | $912.01 | $2,344.23 | $5,623.41 |
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 $1,445.44 Median $1,905.46 Typical High $5,623.41 | Professional | None (both parts) | $1,445.44 | $1,905.46 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $549.54 Typical High $1,445.44 | Professional | 26 · Professional part | $380.19 | $549.54 | $1,445.44 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,479.11 Typical High $4,265.80 | Professional | TC · Technical part | $1,047.13 | $1,479.11 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,862.09 | Facility | None | $977.24 | $1,174.90 | $1,862.09 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $524.81 | Facility | 26 · Professional part | $223.87 | $295.12 | $524.81 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $1,584.89 | Facility | TC · Technical part | $676.08 | $851.14 | $1,584.89 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | None (both parts) | $933.25 | $933.25 | $1,122.02 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Where Massachusetts sits
The same service costs 4.0 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· 43rd of 51
$1,349
WI $4,467NY $1,122
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.