How much rates vary
Facilitymedian $129 · 10th to 90th $19 to $269Professionalmedian $174 · 10th to 90th $35 to $1,072
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 $131.83 Median $489.78 Typical High $562.34 | Facility | None | $131.83 | $489.78 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $131.83 | $131.83 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $22.91 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $109.65 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $457.09 | Facility | None | $263.03 | $354.81 | $457.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $371.54 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $371.54 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $64.57 Typical High $316.23 | Professional | 26 · Professional part | $23.99 | $64.57 | $316.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $120.23 | $316.23 | $954.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $269.15 | Facility | None | $173.78 | $204.17 | $269.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $269.15 | $302.00 | $501.19 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $25.70 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $794.33 | Facility | None | $134.90 | $354.81 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $154.88 | $162.18 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $27.54 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $134.90 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $85.11 Typical High $186.21 | Facility | None | $16.98 | $85.11 | $186.21 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $16.98 | $85.11 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $151.36 | $275.42 | $416.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $51.29 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $229.09 | $338.84 |
Health New England Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $457.09 | Facility | None | $263.03 | $354.81 | $457.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $371.54 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $371.54 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $64.57 Typical High $316.23 | Professional | 26 · Professional part | $23.99 | $64.57 | $316.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $120.23 | $316.23 | $954.99 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $131.83 | $194.98 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $93.33 | Professional | 26 · Professional part | $21.88 | $33.11 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $426.58 | Professional | TC · Technical part | $107.15 | $169.82 | $426.58 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $199.53 | Facility | None | $97.72 | $134.90 | $199.53 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $40.74 | Facility | 26 · Professional part | $17.38 | $22.91 | $40.74 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $186.21 | Facility | TC · Technical part | $81.28 | $104.71 | $186.21 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $131.83 | $131.83 | $158.49 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.85 Typical High $19.05 | Professional | 26 · Professional part | $15.14 | $15.85 | $19.05 |
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 $66.07 Median $66.07 Typical High $112.20 | Professional | 52 · Reduced service | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | 53 · Discontinued | $26.30 | $26.30 | $44.67 |
Where Massachusetts sits
The same service costs 3.3 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· 18th of 51
$174
AK $316UT $95.50
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.