How much rates vary
Facilitymedian $1,259 · 10th to 90th $398 to $5,754Professionalmedian $1,380 · 10th to 90th $407 to $5,495
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 $1,202.26 Median $1,202.26 Typical High $1,513.56 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | 26 · Professional part | $323.59 | $323.59 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $870.96 | $870.96 | $1,122.02 |
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 $1,096.48 Median $3,019.95 Typical High $7,413.10 | Professional | None (both parts) | $1,096.48 | $3,019.95 | $7,413.10 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $851.14 Typical High $2,041.74 | Professional | 26 · Professional part | $338.84 | $851.14 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $2,238.72 Typical High $5,370.32 | Professional | TC · Technical part | $870.96 | $2,238.72 | $5,370.32 |
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 $812.83 Median $1,174.90 Typical High $1,174.90 | Professional | 26 · Professional part | $812.83 | $1,174.90 | $1,174.90 |
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 $2,137.96 Median $2,137.96 Typical High $3,548.13 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $933.25 | Professional | 26 · Professional part | $588.84 | $588.84 | $933.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $2,630.27 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $1,698.24 | Facility | None | $234.42 | $741.31 | $1,698.24 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $234.42 | $707.95 | $1,584.89 |
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 $1,318.26 Median $2,511.89 Typical High $5,623.41 | Professional | None (both parts) | $1,318.26 | $2,511.89 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $724.44 Typical High $1,071.52 | Professional | 26 · Professional part | $398.11 | $724.44 | $1,071.52 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,737.80 Typical High $2,570.40 | Professional | TC · Technical part | $912.01 | $1,737.80 | $2,570.40 |
Health New England Setting Facility Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,235.94 | $3,801.89 | $3,981.07 |
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 $1,096.48 Median $3,019.95 Typical High $7,413.10 | Professional | None (both parts) | $1,096.48 | $3,019.95 | $7,413.10 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $851.14 Typical High $2,041.74 | Professional | 26 · Professional part | $338.84 | $851.14 | $2,041.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $2,238.72 Typical High $5,370.32 | Professional | TC · Technical part | $870.96 | $2,238.72 | $5,370.32 |
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 $1,513.56 Median $1,995.26 Typical High $5,623.41 | Professional | None (both parts) | $1,513.56 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $588.84 Typical High $1,513.56 | Professional | 26 · Professional part | $407.38 | $588.84 | $1,513.56 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,380.38 Typical High $4,073.80 | Professional | TC · Technical part | $1,047.13 | $1,380.38 | $4,073.80 |
Well Sense Setting Facility Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,819.70 | Facility | None | $954.99 | $1,174.90 | $1,819.70 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $549.54 | Facility | 26 · Professional part | $239.88 | $309.03 | $549.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $630.96 Median $831.76 Typical High $1,479.11 | Facility | TC · Technical part | $630.96 | $831.76 | $1,479.11 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $977.24 | $977.24 | $1,174.90 |
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 $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Where Massachusetts sits
The same service costs 3.8 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· 46th of 51
$1,318
WI $4,467NY $1,175
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.