How much rates vary
Facilitymedian $1,072 · 10th to 90th $331 to $9,120Professionalmedian $1,072 · 10th to 90th $380 to $4,677
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 $3,388.44 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | None (both parts) | $831.76 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | 26 · Professional part | $602.56 | $602.56 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $229.09 | $229.09 | $288.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $851.14 Median $3,890.45 Typical High $11,748.98 | Facility | None | $851.14 | $3,890.45 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,691.53 Typical High $12,882.50 | Professional | None (both parts) | $912.01 | $2,691.53 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $1,584.89 Typical High $3,981.07 | Professional | 26 · Professional part | $616.60 | $1,584.89 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,122.02 Typical High $11,748.98 | Professional | TC · Technical part | $457.09 | $1,122.02 | $11,748.98 |
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 $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,096.48 Typical High $1,737.80 | Professional | 26 · Professional part | $1,096.48 | $1,096.48 | $1,737.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $630.96 | Professional | TC · Technical part | $407.38 | $407.38 | $630.96 |
Fallon Health Setting Facility Modifier None Typical Low $269.15 Median $645.65 Typical High $1,348.96 | Facility | None | $269.15 | $645.65 | $1,348.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $645.65 Typical High $1,318.26 | Professional | None (both parts) | $275.42 | $645.65 | $1,318.26 |
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 $1,148.15 Median $2,290.87 Typical High $4,677.35 | Professional | None (both parts) | $1,148.15 | $2,290.87 | $4,677.35 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $1,318.26 Typical High $1,995.26 | Professional | 26 · Professional part | $707.95 | $1,318.26 | $1,995.26 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $870.96 Typical High $1,230.27 | Professional | TC · Technical part | $436.52 | $870.96 | $1,230.27 |
Health New England Setting Facility Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $16,218.10 | Facility | None | $3,467.37 | $3,630.78 | $16,218.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $851.14 Median $3,890.45 Typical High $11,748.98 | Facility | None | $851.14 | $3,890.45 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,691.53 Typical High $12,882.50 | Professional | None (both parts) | $912.01 | $2,691.53 | $12,882.50 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $1,584.89 Typical High $3,981.07 | Professional | 26 · Professional part | $616.60 | $1,584.89 | $3,981.07 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,122.02 Typical High $11,748.98 | Professional | TC · Technical part | $457.09 | $1,122.02 | $11,748.98 |
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 $1,023.29 Median $1,621.81 Typical High $4,677.35 | Professional | None (both parts) | $1,023.29 | $1,621.81 | $4,677.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $1,023.29 Typical High $2,884.03 | Professional | 26 · Professional part | $676.08 | $1,023.29 | $2,884.03 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $645.65 Typical High $1,778.28 | Professional | TC · Technical part | $354.81 | $645.65 | $1,778.28 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $1,584.89 | Facility | None | $794.33 | $954.99 | $1,584.89 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $575.44 Typical High $912.01 | Facility | 26 · Professional part | $446.68 | $575.44 | $912.01 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $616.60 | Facility | TC · Technical part | $302.00 | $380.19 | $616.60 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None (both parts) | $776.25 | $776.25 | $933.25 |
3 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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $380.19 | $549.54 | $549.54 |
Where Massachusetts sits
The same service costs 5.2 times more in Louisiana 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· 50th of 51
$1,072
LA $4,677NY $891
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.