How much rates vary
Facilitymedian $2,291 · 10th to 90th $200 to $7,079Professionalmedian $447 · 10th to 90th $204 to $1,862
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 $4,677.35 Typical High $8,709.64 | Facility | None | $2,691.53 | $4,677.35 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None (both parts) | $6,760.83 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 26 · Professional part | $295.12 | $295.12 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $3,467.37 Typical High $7,585.78 | Facility | None | $1,096.48 | $3,467.37 | $7,585.78 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $389.05 | $1,000.00 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $676.08 Typical High $1,862.09 | Professional | 26 · Professional part | $275.42 | $676.08 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $4,897.79 Typical High $12,022.64 | Facility | None | $50.12 | $4,897.79 | $12,022.64 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $831.76 | Professional | 26 · Professional part | $524.81 | $524.81 | $831.76 |
Fallon Health Setting Facility Modifier None Typical Low $181.97 Median $323.59 Typical High $467.74 | Facility | None | $181.97 | $323.59 | $467.74 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $186.21 | $323.59 | $467.74 |
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 $380.19 Median $660.69 Typical High $6,456.54 | Professional | None (both parts) | $380.19 | $660.69 | $6,456.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $630.96 Typical High $954.99 | Professional | 26 · Professional part | $346.74 | $630.96 | $954.99 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,096.48 Median $3,467.37 Typical High $7,585.78 | Facility | None | $1,096.48 | $3,467.37 | $7,585.78 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $389.05 | $1,000.00 | $1,862.09 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $676.08 Typical High $1,862.09 | Professional | 26 · Professional part | $275.42 | $676.08 | $1,862.09 |
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 $363.08 Median $512.86 Typical High $1,348.96 | Professional | None (both parts) | $363.08 | $512.86 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $512.86 Typical High $1,380.38 | Professional | 26 · Professional part | $338.84 | $512.86 | $1,380.38 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $213.80 Median $275.42 Typical High $446.68 | Facility | 26 · Professional part | $213.80 | $275.42 | $446.68 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | AS · PA/NP assist | $117.49 | $165.96 | $165.96 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $2,951.21 Typical High $4,897.79 | Facility | TC · Technical part | $239.88 | $2,951.21 | $4,897.79 |
Where Massachusetts sits
The same service costs 23.4 times more in Colorado than in Kentucky. 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
$513
CO $6,761KY $288
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.