How much rates vary
Facilitymedian $1,585 · 10th to 90th $229 to $6,918Professionalmedian $1,514 · 10th to 90th $257 to $8,128
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 $1,288.25 Median $1,318.26 Typical High $2,951.21 | Professional | None (both parts) | $1,288.25 | $1,318.26 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 26 · Professional part | $323.59 | $323.59 | $398.11 |
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 $436.52 Median $3,630.78 Typical High $8,128.31 | Professional | None (both parts) | $436.52 | $3,630.78 | $8,128.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $812.83 Typical High $2,041.74 | Professional | 26 · Professional part | $323.59 | $812.83 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $6,165.95 Typical High $6,165.95 | Professional | TC · Technical part | $1,548.82 | $6,165.95 | $6,165.95 |
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 None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,890.45 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,890.45 |
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 $1,949.84 Median $1,949.84 Typical High $3,019.95 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $3,019.95 |
Fallon Health Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $1,778.28 | Facility | None | $208.93 | $457.09 | $1,778.28 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $446.68 Typical High $1,584.89 | Professional | None (both parts) | $208.93 | $446.68 | $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 $501.19 Median $2,691.53 Typical High $5,011.87 | Professional | None (both parts) | $501.19 | $2,691.53 | $5,011.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $691.83 Typical High $1,047.13 | Professional | 26 · Professional part | $380.19 | $691.83 | $1,047.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $2,238.72 Typical High $2,951.21 | Professional | TC · Technical part | $1,148.15 | $2,238.72 | $2,951.21 |
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 $436.52 Median $3,630.78 Typical High $8,128.31 | Professional | None (both parts) | $436.52 | $3,630.78 | $8,128.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $812.83 Typical High $2,041.74 | Professional | 26 · Professional part | $323.59 | $812.83 | $2,041.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $6,165.95 Typical High $6,165.95 | Professional | TC · Technical part | $1,548.82 | $6,165.95 | $6,165.95 |
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 $398.11 Median $1,445.44 Typical High $3,801.89 | Professional | None (both parts) | $398.11 | $1,445.44 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $562.34 Typical High $1,513.56 | Professional | 26 · Professional part | $371.54 | $562.34 | $1,513.56 |
United Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $2,818.38 Typical High $4,570.88 | Professional | TC · Technical part | $1,445.44 | $2,818.38 | $4,570.88 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $234.42 Median $309.03 Typical High $489.78 | Facility | 26 · Professional part | $234.42 | $309.03 | $489.78 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $2,951.21 Typical High $4,897.79 | Facility | TC · Technical part | $269.15 | $2,951.21 | $4,897.79 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $549.54 Median $794.33 Typical High $794.33 | Professional | AS · PA/NP assist | $549.54 | $794.33 | $794.33 |
Where Massachusetts sits
The same service costs 14.5 times more in California than in Maine. 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· 31st of 51
$1,514
CA $8,128ME $562
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.