How much rates vary
Facilitymedian $380 · 10th to 90th $93 to $9,333Professionalmedian $407 · 10th to 90th $110 to $1,549
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 $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $851.14 | Professional | 26 · Professional part | $239.88 | $239.88 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $707.95 Median $3,890.45 Typical High $11,748.98 | Facility | None | $707.95 | $3,890.45 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $331.13 Median $891.25 Typical High $12,882.50 | Professional | None (both parts) | $331.13 | $891.25 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $602.56 Typical High $2,344.23 | Professional | 26 · Professional part | $245.47 | $602.56 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $288.40 Typical High $12,302.69 | Professional | TC · Technical part | $112.20 | $288.40 | $12,302.69 |
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 $50.12 Median $10,964.78 Typical High $50,118.72 | Facility | None | $50.12 | $10,964.78 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $870.96 | Professional | None (both parts) | $562.34 | $562.34 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $660.69 | Professional | 26 · Professional part | $426.58 | $426.58 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $134.90 | $208.93 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $204.17 Typical High $478.63 | Facility | None | $69.18 | $204.17 | $478.63 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $69.18 | $204.17 | $446.68 |
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 $407.38 Median $758.58 Typical High $1,548.82 | Professional | None (both parts) | $407.38 | $758.58 | $1,548.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $512.86 Typical High $776.25 | Professional | 26 · Professional part | $281.84 | $512.86 | $776.25 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $223.87 | $309.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $707.95 Median $3,890.45 Typical High $11,748.98 | Facility | None | $707.95 | $3,890.45 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $331.13 Median $891.25 Typical High $12,882.50 | Professional | None (both parts) | $331.13 | $891.25 | $12,882.50 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $602.56 Typical High $2,344.23 | Professional | 26 · Professional part | $245.47 | $602.56 | $2,344.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $288.40 Typical High $12,302.69 | Professional | TC · Technical part | $112.20 | $288.40 | $12,302.69 |
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 $398.11 Median $575.44 Typical High $1,548.82 | Professional | None (both parts) | $398.11 | $575.44 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $426.58 Typical High $1,096.48 | Professional | 26 · Professional part | $288.40 | $426.58 | $1,096.48 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $173.78 | $457.09 |
Well Sense Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $316.23 | Facility | None | $269.15 | $316.23 | $316.23 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $223.87 Typical High $363.08 | Facility | 26 · Professional part | $177.83 | $223.87 | $363.08 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $281.84 | $281.84 | $338.84 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Where Massachusetts sits
The same service costs 9.5 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· 44th of 51
$407
LA $3,090NY $324
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.