How much rates vary
Facilitymedian $229 · 10th to 90th $76 to $8,710Professionalmedian $240 · 10th to 90th $79 to $1,000
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 $3,467.37 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,467.37 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $363.08 | Professional | 26 · Professional part | $112.20 | $112.20 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $1,380.38 Typical High $11,748.98 | Facility | None | $436.52 | $1,380.38 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $199.53 Median $575.44 Typical High $12,882.50 | Professional | None (both parts) | $199.53 | $575.44 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $295.12 Typical High $758.58 | Professional | 26 · Professional part | $120.23 | $295.12 | $758.58 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $281.84 Typical High $12,589.25 | Professional | TC · Technical part | $109.65 | $281.84 | $12,589.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7,943.28 Median $9,120.11 Typical High $12,302.69 | Facility | None | $7,943.28 | $9,120.11 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $4,073.80 Typical High $50,118.72 | Facility | None | $50.12 | $4,073.80 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $363.08 | $363.08 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | 26 · Professional part | $208.93 | $208.93 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $154.88 | $239.88 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $131.83 Typical High $281.84 | Facility | None | $63.10 | $131.83 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $134.90 Typical High $288.40 | Professional | None (both parts) | $64.57 | $134.90 | $288.40 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $575.44 Median $1,318.26 Typical High $4,786.30 | Facility | None | $575.44 | $1,318.26 | $4,786.30 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $257.04 | $478.63 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $251.19 Typical High $380.19 | Professional | 26 · Professional part | $138.04 | $251.19 | $380.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $114.82 | $218.78 | $302.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $1,380.38 Typical High $11,748.98 | Facility | None | $436.52 | $1,380.38 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $199.53 Median $575.44 Typical High $12,882.50 | Professional | None (both parts) | $199.53 | $575.44 | $12,882.50 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $295.12 Typical High $758.58 | Professional | 26 · Professional part | $120.23 | $295.12 | $758.58 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $281.84 Typical High $12,589.25 | Professional | TC · Technical part | $109.65 | $281.84 | $12,589.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $17,782.79 | Facility | None | $602.56 | $1,380.38 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $1,000.00 | Professional | None (both parts) | $239.88 | $331.13 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $549.54 | Professional | 26 · Professional part | $134.90 | $186.21 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $446.68 | Professional | TC · Technical part | $107.15 | $158.49 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $323.59 | Facility | None | $165.96 | $199.53 | $323.59 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $173.78 | Facility | 26 · Professional part | $85.11 | $109.65 | $173.78 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $147.91 | Facility | TC · Technical part | $72.44 | $89.13 | $147.91 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $158.49 | $158.49 | $190.55 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $38.90 | $39.81 |
Where Massachusetts sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 41st of 51
$240
OK $4,786HI $158
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.