How much rates vary
Facilitymedian $2,344 · 10th to 90th $174 to $7,244Professionalmedian $407 · 10th to 90th $182 to $1,660
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
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 $354.81 Median $912.01 Typical High $1,659.59 | Professional | None (both parts) | $354.81 | $912.01 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $660.69 Typical High $1,659.59 | Professional | 26 · Professional part | $269.15 | $660.69 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,606.93 Typical High $12,022.64 | Facility | None | $588.84 | $6,606.93 | $12,022.64 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $758.58 | Professional | 26 · Professional part | $467.74 | $467.74 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $416.87 | Facility | None | $158.49 | $288.40 | $416.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $162.18 | $288.40 | $416.87 |
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 $338.84 Median $602.56 Typical High $6,456.54 | Professional | None (both parts) | $338.84 | $602.56 | $6,456.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $562.34 Typical High $851.14 | Professional | 26 · Professional part | $309.03 | $562.34 | $851.14 |
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 $354.81 Median $912.01 Typical High $1,659.59 | Professional | None (both parts) | $354.81 | $912.01 | $1,659.59 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $660.69 Typical High $1,659.59 | Professional | 26 · Professional part | $269.15 | $660.69 | $1,659.59 |
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 $323.59 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $323.59 | $457.09 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $457.09 Typical High $1,258.93 | Professional | 26 · Professional part | $309.03 | $457.09 | $1,258.93 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $194.98 Median $245.47 Typical High $398.11 | Facility | 26 · Professional part | $194.98 | $245.47 | $398.11 |
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 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $2,951.21 Typical High $4,897.79 | Facility | TC · Technical part | $213.80 | $2,951.21 | $4,897.79 |
Where Massachusetts sits
The same service costs 19.5 times more in Colorado than in Maryland. 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
$457
CO $6,761MD $347
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.