How much rates vary
Facilitymedian $59 · 10th to 90th $15 to $2,344Professionalmedian $65 · 10th to 90th $17 to $245
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 $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $165.96 | Professional | 26 · Professional part | $50.12 | $50.12 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $14.13 | $14.13 | $14.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $1,122.02 Typical High $3,548.13 | Facility | None | $138.04 | $1,122.02 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $56.23 Median $138.04 Typical High $2,344.23 | Professional | None (both parts) | $56.23 | $138.04 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $1,348.96 | Professional | 26 · Professional part | $38.90 | $95.50 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $48.98 Typical High $354.81 | Professional | TC · Technical part | $17.78 | $48.98 | $354.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,659.59 | $2,187.76 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $50,118.72 | Facility | None | $812.83 | $2,398.83 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $85.11 | $85.11 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $66.07 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | TC · Technical part | $19.05 | $19.05 | $30.20 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $31.62 Typical High $74.13 | Facility | None | $10.96 | $31.62 | $74.13 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $31.62 Typical High $70.79 | Professional | None (both parts) | $10.96 | $31.62 | $70.79 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $575.44 Median $1,318.26 Typical High $5,128.61 | Facility | None | $575.44 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $53.70 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $53.70 | $123.03 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $72.44 | $112.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $17.78 | $34.67 | $51.29 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $1,122.02 Typical High $3,548.13 | Facility | None | $138.04 | $1,122.02 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $56.23 Median $138.04 Typical High $2,344.23 | Professional | None (both parts) | $56.23 | $138.04 | $2,344.23 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $1,348.96 | Professional | 26 · Professional part | $38.90 | $95.50 | $1,348.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $48.98 Typical High $354.81 | Professional | TC · Technical part | $17.78 | $48.98 | $354.81 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $5,128.61 | Facility | None | $602.56 | $1,380.38 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $245.47 | Professional | None (both parts) | $67.61 | $93.33 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $173.78 | Professional | 26 · Professional part | $48.98 | $77.62 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $27.54 Typical High $72.44 | Professional | TC · Technical part | $17.38 | $27.54 | $72.44 |
Well Sense Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $81.28 | Facility | None | $40.74 | $48.98 | $81.28 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $56.23 | Facility | 26 · Professional part | $26.92 | $34.67 | $56.23 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $11.75 Median $14.45 Typical High $26.30 | Facility | TC · Technical part | $11.75 | $14.45 | $26.30 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None (both parts) | $47.86 | $47.86 | $57.54 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Where Massachusetts sits
The same service costs 51.3 times more in Oklahoma than in New York. 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
$64.57
OK $2,570NY $50.12
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.