How much rates vary
Facilitymedian $1,380 · 10th to 90th $417 to $5,754Professionalmedian $1,479 · 10th to 90th $427 to $6,026
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 $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | 26 · Professional part | $338.84 | $338.84 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $954.99 | $1,202.26 |
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 $1,202.26 Median $3,388.44 Typical High $8,128.31 | Professional | None (both parts) | $1,202.26 | $3,388.44 | $8,128.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $891.25 Typical High $2,137.96 | Professional | 26 · Professional part | $354.81 | $891.25 | $2,137.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $2,511.89 Typical High $6,025.60 | Professional | TC · Technical part | $954.99 | $2,511.89 | $6,025.60 |
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 $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $977.24 | Professional | 26 · Professional part | $616.60 | $616.60 | $977.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $2,951.21 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $2,951.21 |
Fallon Health Setting Facility Modifier None Typical Low $245.47 Median $812.83 Typical High $1,905.46 | Facility | None | $245.47 | $812.83 | $1,905.46 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $794.33 Typical High $1,737.80 | Professional | None (both parts) | $245.47 | $794.33 | $1,737.80 |
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 $1,445.44 Median $2,754.23 Typical High $5,754.40 | Professional | None (both parts) | $1,445.44 | $2,754.23 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $758.58 Typical High $1,122.02 | Professional | 26 · Professional part | $407.38 | $758.58 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,905.46 Typical High $2,818.38 | Professional | TC · Technical part | $1,023.29 | $1,905.46 | $2,818.38 |
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 $1,202.26 Median $3,388.44 Typical High $8,128.31 | Professional | None (both parts) | $1,202.26 | $3,388.44 | $8,128.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $891.25 Typical High $2,137.96 | Professional | 26 · Professional part | $354.81 | $891.25 | $2,137.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $2,511.89 Typical High $6,025.60 | Professional | TC · Technical part | $954.99 | $2,511.89 | $6,025.60 |
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 $1,621.81 Median $2,137.96 Typical High $6,165.95 | Professional | None (both parts) | $1,621.81 | $2,137.96 | $6,165.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $616.60 Typical High $1,584.89 | Professional | 26 · Professional part | $426.58 | $616.60 | $1,584.89 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,548.82 Typical High $4,570.88 | Professional | TC · Technical part | $1,174.90 | $1,548.82 | $4,570.88 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,905.46 | Facility | None | $1,047.13 | $1,174.90 | $1,905.46 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $575.44 | Facility | 26 · Professional part | $245.47 | $323.59 | $575.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,659.59 | Facility | TC · Technical part | $707.95 | $912.01 | $1,659.59 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,258.93 |
2 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 $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $2,137.96 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,862.09 | $2,137.96 | $2,630.27 |
Where Massachusetts sits
The same service costs 3.9 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· 45th of 51
$1,445
WI $4,898NY $1,259
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.