How much rates vary
Facilitymedian $832 · 10th to 90th $263 to $9,120Professionalmedian $891 · 10th to 90th $282 to $3,548
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 $707.95 Median $707.95 Typical High $758.58 | Professional | None (both parts) | $707.95 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $933.25 | Professional | 26 · Professional part | $380.19 | $380.19 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | TC · Technical part | $331.13 | $331.13 | $338.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $11,748.98 | Facility | None | $812.83 | $3,890.45 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $724.44 Median $2,041.74 Typical High $12,882.50 | Professional | None (both parts) | $724.44 | $2,041.74 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $977.24 Typical High $4,466.84 | Professional | 26 · Professional part | $398.11 | $977.24 | $4,466.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,096.48 Typical High $12,022.64 | Professional | TC · Technical part | $416.87 | $1,096.48 | $12,022.64 |
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 $5,248.07 Median $7,943.28 Typical High $22,908.68 | Facility | None | $5,248.07 | $7,943.28 | $22,908.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,949.84 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $1,071.52 | Professional | 26 · Professional part | $691.83 | $691.83 | $1,071.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $575.44 | $575.44 | $891.25 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $1,071.52 | Facility | None | $234.42 | $489.78 | $1,071.52 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $489.78 Typical High $1,023.29 | Professional | None (both parts) | $239.88 | $489.78 | $1,023.29 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $13,182.57 | Facility | None | $891.25 | $3,890.45 | $13,182.57 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,737.80 Typical High $3,548.13 | Professional | None (both parts) | $933.25 | $1,737.80 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $831.76 Typical High $1,258.93 | Professional | 26 · Professional part | $457.09 | $831.76 | $1,258.93 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $870.96 Typical High $1,202.26 | Professional | TC · Technical part | $446.68 | $870.96 | $1,202.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $11,748.98 | Facility | None | $812.83 | $3,890.45 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $724.44 Median $2,041.74 Typical High $12,882.50 | Professional | None (both parts) | $724.44 | $2,041.74 | $12,882.50 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $977.24 Typical High $4,466.84 | Professional | 26 · Professional part | $398.11 | $977.24 | $4,466.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,096.48 Typical High $12,022.64 | Professional | TC · Technical part | $416.87 | $1,096.48 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $17,782.79 | Facility | None | $1,071.52 | $3,890.45 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,202.26 Typical High $3,548.13 | Professional | None (both parts) | $870.96 | $1,202.26 | $3,548.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $645.65 Typical High $1,778.28 | Professional | 26 · Professional part | $436.52 | $645.65 | $1,778.28 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $630.96 Typical High $1,737.80 | Professional | TC · Technical part | $416.87 | $630.96 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $1,174.90 | Facility | None | $602.56 | $707.95 | $1,174.90 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $275.42 Median $363.08 Typical High $575.44 | Facility | 26 · Professional part | $275.42 | $363.08 | $575.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $575.44 | Facility | TC · Technical part | $281.84 | $354.81 | $575.44 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $588.84 | $588.84 | $707.95 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Where Massachusetts sits
The same service costs 7.1 times more in Texas 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
$891
TX $3,981HI $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.