How much rates vary
Facilitymedian $229 · 10th to 90th $39 to $589Professionalmedian $398 · 10th to 90th $148 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 $263.03 Median $263.03 Typical High $1,047.13 | Facility | None | $263.03 | $263.03 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 26 · Professional part | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $29.51 | $29.51 | $47.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $954.99 | Facility | None | $588.84 | $741.31 | $954.99 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $302.00 Median $758.58 Typical High $3,548.13 | Professional | None (both parts) | $302.00 | $758.58 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $660.69 Typical High $1,513.56 | Professional | 26 · Professional part | $257.04 | $660.69 | $1,513.56 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $154.88 Typical High $2,137.96 | Professional | TC · Technical part | $47.86 | $154.88 | $2,137.96 |
BCBS Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $676.08 | Facility | None | $436.52 | $512.86 | $676.08 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $489.78 Typical High $1,513.56 | Professional | 26 · Professional part | $338.84 | $489.78 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $173.78 Typical High $707.95 | Facility | None | $48.98 | $173.78 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $812.83 | Professional | None (both parts) | $446.68 | $524.81 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $426.58 Typical High $676.08 | Professional | 26 · Professional part | $338.84 | $426.58 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $95.50 | $144.54 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $173.78 Typical High $389.05 | Facility | None | $35.48 | $173.78 | $389.05 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $37.15 | $186.21 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $338.84 | $575.44 | $977.24 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $478.63 Typical High $870.96 | Professional | 26 · Professional part | $281.84 | $478.63 | $870.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $102.33 | $154.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $954.99 | Facility | None | $588.84 | $741.31 | $954.99 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $302.00 Median $758.58 Typical High $3,548.13 | Professional | None (both parts) | $302.00 | $758.58 | $3,548.13 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $660.69 Typical High $1,513.56 | Professional | 26 · Professional part | $257.04 | $660.69 | $1,513.56 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $154.88 Typical High $2,137.96 | Professional | TC · Technical part | $47.86 | $154.88 | $2,137.96 |
United Setting Facility Modifier None Typical Low $426.58 Median $812.83 Typical High $1,202.26 | Facility | None | $426.58 | $812.83 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $501.19 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $398.11 Typical High $912.01 | Professional | 26 · Professional part | $257.04 | $398.11 | $912.01 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $45.71 | $114.82 | $169.82 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $436.52 | Facility | None | $213.80 | $295.12 | $436.52 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $407.38 | Facility | 26 · Professional part | $173.78 | $229.09 | $407.38 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $87.10 | Facility | TC · Technical part | $37.15 | $48.98 | $87.10 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $239.88 | $239.88 | $288.40 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $204.17 Typical High $245.47 | Professional | 26 · Professional part | $199.53 | $204.17 | $245.47 |
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 $131.83 Median $131.83 Typical High $151.36 | Professional | 52 · Reduced service | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $52.48 | $60.26 |
Where Massachusetts sits
The same service costs 3.3 times more in Minnesota 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· 20th of 51
$380
MN $661UT $200
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.