How much rates vary
Facilitymedian $178 · 10th to 90th $32 to $1,862Professionalmedian $209 · 10th to 90th $35 to $1,413
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 $208.93 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $151.36 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $57.54 | $57.54 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $2,344.23 | Facility | None | $123.03 | $524.81 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $208.93 Median $602.56 Typical High $3,630.78 | Professional | None (both parts) | $208.93 | $602.56 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $177.83 Typical High $1,380.38 | Professional | 26 · Professional part | $61.66 | $177.83 | $1,380.38 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $295.12 Typical High $3,548.13 | Professional | TC · Technical part | $91.20 | $295.12 | $3,548.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $446.68 Median $524.81 Typical High $691.83 | Facility | None | $446.68 | $524.81 | $691.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $181.97 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $8,317.64 Median $50,118.72 Typical High $56,234.13 | Facility | None | $8,317.64 | $50,118.72 | $56,234.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $426.58 | Professional | None (both parts) | $134.90 | $134.90 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $309.03 | Professional | 26 · Professional part | $97.72 | $97.72 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $107.15 | Professional | TC · Technical part | $36.31 | $36.31 | $107.15 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $47.86 Typical High $95.50 | Facility | None | $24.55 | $47.86 | $95.50 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $24.55 | $47.86 | $95.50 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $4,168.69 | Facility | None | $87.10 | $537.03 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $85.11 Median $190.55 Typical High $870.96 | Professional | None (both parts) | $85.11 | $190.55 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $138.04 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $138.04 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $46.77 Typical High $478.63 | Professional | TC · Technical part | $20.89 | $46.77 | $478.63 |
Health New England Setting Facility Modifier None Typical Low $151.36 Median $3,467.37 Typical High $3,801.89 | Facility | None | $151.36 | $3,467.37 | $3,801.89 |
Health New England Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $2,344.23 | Facility | None | $123.03 | $524.81 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $208.93 Median $602.56 Typical High $3,630.78 | Professional | None (both parts) | $208.93 | $602.56 | $3,630.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $177.83 Typical High $1,380.38 | Professional | 26 · Professional part | $61.66 | $177.83 | $1,380.38 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $295.12 Typical High $3,548.13 | Professional | TC · Technical part | $91.20 | $295.12 | $3,548.13 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $7,413.10 | Facility | None | $117.49 | $537.03 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $575.44 Typical High $1,202.26 | Professional | None (both parts) | $354.81 | $575.44 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $186.21 Typical High $724.44 | Professional | 26 · Professional part | $93.33 | $186.21 | $724.44 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $141.25 | $363.08 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $141.25 | Facility | 26 · Professional part | $51.29 | $74.13 | $141.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $147.91 | $147.91 | $177.83 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Where Massachusetts sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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
$209
NE $724SC $151
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.