How much rates vary
Facilitymedian $155 · 10th to 90th $59 to $676Professionalmedian $204 · 10th to 90th $69 to $741
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $165.96 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $72.44 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | TC · Technical part | $93.33 | $93.33 | $112.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,398.83 | Facility | None | $123.03 | $537.03 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $6,025.60 | Professional | None (both parts) | $154.88 | $446.68 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $158.49 Typical High $707.95 | Professional | 26 · Professional part | $56.23 | $158.49 | $707.95 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $316.23 Typical High $5,888.44 | Professional | TC · Technical part | $123.03 | $316.23 | $5,888.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $446.68 | Facility | None | $288.40 | $331.13 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $208.93 | $208.93 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $93.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $117.49 | $117.49 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $117.49 Typical High $257.04 | Facility | None | $53.70 | $117.49 | $257.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $53.70 | $117.49 | $251.19 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $208.93 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $208.93 | $389.05 | $562.34 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $141.25 | $218.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $245.47 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,398.83 | Facility | None | $123.03 | $537.03 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $6,025.60 | Professional | None (both parts) | $154.88 | $446.68 | $6,025.60 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $158.49 Typical High $707.95 | Professional | 26 · Professional part | $56.23 | $158.49 | $707.95 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $316.23 Typical High $5,888.44 | Professional | TC · Technical part | $123.03 | $316.23 | $5,888.44 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $275.42 Typical High $741.31 | Professional | None (both parts) | $186.21 | $275.42 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $239.88 | Professional | 26 · Professional part | $69.18 | $109.65 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $501.19 | Professional | TC · Technical part | $120.23 | $177.83 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $263.03 | Facility | None | $128.82 | $154.88 | $263.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $77.62 | Facility | 26 · Professional part | $37.15 | $48.98 | $77.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $169.82 | Facility | TC · Technical part | $81.28 | $104.71 | $169.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $134.90 | $134.90 | $162.18 |
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 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Where Massachusetts sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 26th of 51
$195
WI $417VA $110
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.