How much rates vary
Facilitymedian $148 · 10th to 90th $45 to $933Professionalmedian $288 · 10th to 90th $93 to $1,288
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $3,548.13 | Facility | None | $501.19 | $1,023.29 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $208.93 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $208.93 | $478.63 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $380.19 Typical High $891.25 | Professional | 26 · Professional part | $154.88 | $380.19 | $891.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $158.49 Typical High $512.86 | Professional | TC · Technical part | $60.26 | $158.49 | $512.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $199.53 | Facility | None | $128.82 | $147.91 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $114.82 Typical High $52,480.75 | Facility | None | $64.57 | $114.82 | $52,480.75 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $363.08 | $363.08 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $257.04 Typical High $398.11 | Professional | 26 · Professional part | $251.19 | $257.04 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $102.33 | $162.18 |
Fallon Health Setting Facility Modifier None Typical Low $40.74 Median $112.20 Typical High $263.03 | Facility | None | $40.74 | $112.20 | $263.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $40.74 | $117.49 | $269.15 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $229.09 | $416.87 | $630.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $295.12 Typical High $457.09 | Professional | 26 · Professional part | $165.96 | $295.12 | $457.09 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $114.82 | $177.83 |
Health New England Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $3,548.13 | Facility | None | $501.19 | $1,023.29 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $208.93 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $208.93 | $478.63 | $1,288.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $380.19 Typical High $891.25 | Professional | 26 · Professional part | $154.88 | $380.19 | $891.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $158.49 Typical High $512.86 | Professional | TC · Technical part | $60.26 | $158.49 | $512.86 |
United Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $223.87 | $407.38 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $162.18 | $281.84 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $61.66 | $141.25 | $208.93 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $295.12 | Facility | None | $144.54 | $199.53 | $295.12 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $239.88 | Facility | 26 · Professional part | $104.71 | $134.90 | $239.88 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | TC · Technical part | $40.74 | $52.48 | $93.33 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $208.93 | $208.93 | $251.19 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 21st of 51
$288
AK $468UT $132
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.