How much rates vary
Facilitymedian $257 · 10th to 90th $85 to $8,710Professionalmedian $282 · 10th to 90th $93 to $1,096
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 $223.87 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $426.58 | Professional | 26 · Professional part | $154.88 | $154.88 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
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 $218.78 Median $630.96 Typical High $12,882.50 | Professional | None (both parts) | $218.78 | $630.96 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $407.38 Typical High $1,023.29 | Professional | 26 · Professional part | $165.96 | $407.38 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $234.42 Typical High $12,589.25 | Professional | TC · Technical part | $91.20 | $234.42 | $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 $562.34 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $562.34 | $812.83 | $812.83 |
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 $407.38 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $407.38 | $407.38 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | 26 · Professional part | $281.84 | $281.84 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $123.03 | $194.98 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $141.25 Typical High $316.23 | Facility | None | $56.23 | $141.25 | $316.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $56.23 | $147.91 | $316.23 |
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 $281.84 Median $537.03 Typical High $1,096.48 | Professional | None (both parts) | $281.84 | $537.03 | $1,096.48 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $346.74 Typical High $512.86 | Professional | 26 · Professional part | $190.55 | $346.74 | $512.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $181.97 | $251.19 |
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 $218.78 Median $630.96 Typical High $12,882.50 | Professional | None (both parts) | $218.78 | $630.96 | $12,882.50 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $407.38 Typical High $1,023.29 | Professional | 26 · Professional part | $165.96 | $407.38 | $1,023.29 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $234.42 Typical High $12,589.25 | Professional | TC · Technical part | $91.20 | $234.42 | $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 $269.15 Median $380.19 Typical High $1,096.48 | Professional | None (both parts) | $269.15 | $380.19 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $263.03 Typical High $741.31 | Professional | 26 · Professional part | $181.97 | $263.03 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $371.54 | Professional | TC · Technical part | $87.10 | $131.83 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $371.54 | Facility | None | $186.21 | $223.87 | $371.54 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $151.36 Typical High $234.42 | Facility | 26 · Professional part | $114.82 | $151.36 | $234.42 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $120.23 | Facility | TC · Technical part | $58.88 | $74.13 | $120.23 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $44.67 | $45.71 |
Where Massachusetts sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 43rd of 51
$269
LA $1,288AL $224
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.