How much rates vary
Facilitymedian $182 · 10th to 90th $59 to $8,710Professionalmedian $195 · 10th to 90th $66 to $776
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 $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | 26 · Professional part | $109.65 | $109.65 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $416.87 Median $1,380.38 Typical High $11,748.98 | Facility | None | $416.87 | $1,380.38 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $12,882.50 | Professional | None (both parts) | $154.88 | $446.68 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $295.12 Typical High $707.95 | Professional | 26 · Professional part | $117.49 | $295.12 | $707.95 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $158.49 Typical High $12,589.25 | Professional | TC · Technical part | $61.66 | $158.49 | $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 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $407.38 | $575.44 | $575.44 |
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 $295.12 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $295.12 | $295.12 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $323.59 | Professional | 26 · Professional part | $204.17 | $204.17 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $89.13 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $223.87 | Facility | None | $38.02 | $95.50 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $38.02 | $104.71 | $223.87 |
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 $194.98 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $194.98 | $380.19 | $776.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $134.90 | $245.47 | $371.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $123.03 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $416.87 Median $1,380.38 Typical High $11,748.98 | Facility | None | $416.87 | $1,380.38 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $12,882.50 | Professional | None (both parts) | $154.88 | $446.68 | $12,882.50 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $295.12 Typical High $707.95 | Professional | 26 · Professional part | $117.49 | $295.12 | $707.95 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $158.49 Typical High $12,589.25 | Professional | TC · Technical part | $61.66 | $158.49 | $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 $190.55 Median $263.03 Typical High $776.25 | Professional | None (both parts) | $190.55 | $263.03 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $537.03 | Professional | 26 · Professional part | $131.83 | $186.21 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $251.19 | Professional | TC · Technical part | $60.26 | $89.13 | $251.19 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $263.03 | Facility | None | $131.83 | $158.49 | $263.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $169.82 | Facility | 26 · Professional part | $83.18 | $107.15 | $169.82 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $83.18 | Facility | TC · Technical part | $40.74 | $50.12 | $83.18 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $128.82 | $128.82 | $154.88 |
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 $79.43 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $31.62 | $31.62 | $32.36 |
Where Massachusetts sits
The same service costs 8.3 times more in Louisiana 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· 42nd of 51
$191
LA $1,288HI $155
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.