How much rates vary
Facilitymedian $155 · 10th to 90th $30 to $282Professionalmedian $229 · 10th to 90th $55 to $1,349
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 $154.88 Median $501.19 Typical High $602.56 | Facility | None | $154.88 | $501.19 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $117.49 | $154.88 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $23.99 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $131.83 | $218.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $457.09 Typical High $616.60 | Facility | None | $263.03 | $457.09 | $616.60 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $165.96 Median $501.19 Typical High $1,348.96 | Professional | None (both parts) | $165.96 | $501.19 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $97.72 Typical High $371.54 | Professional | 26 · Professional part | $28.84 | $97.72 | $371.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $416.87 Typical High $1,122.02 | Professional | TC · Technical part | $147.91 | $416.87 | $1,122.02 |
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 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $40.74 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $275.42 Typical High $436.52 | Facility | None | $89.13 | $275.42 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $181.97 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $43.65 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $169.82 | $436.52 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $114.82 Typical High $251.19 | Facility | None | $26.92 | $114.82 | $251.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $26.92 | $114.82 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $194.98 | $371.54 | $575.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $33.11 | $74.13 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $295.12 | $446.68 |
Health New England Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $457.09 Typical High $616.60 | Facility | None | $263.03 | $457.09 | $616.60 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $165.96 Median $501.19 Typical High $1,348.96 | Professional | None (both parts) | $165.96 | $501.19 | $1,348.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $97.72 Typical High $371.54 | Professional | 26 · Professional part | $28.84 | $97.72 | $371.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $416.87 Typical High $1,122.02 | Professional | TC · Technical part | $147.91 | $416.87 | $1,122.02 |
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 $165.96 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $165.96 | $245.47 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $97.72 | Professional | 26 · Professional part | $26.92 | $37.15 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $138.04 | $218.78 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $213.80 | Facility | None | $102.33 | $141.25 | $213.80 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $42.66 | Facility | 26 · Professional part | $18.20 | $23.99 | $42.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $194.98 | Facility | TC · Technical part | $85.11 | $109.65 | $194.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $162.18 | $162.18 | $194.98 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $23.44 | $25.12 | $30.20 |
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 $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $66.07 | $77.62 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $26.30 | $30.90 | $46.77 |
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· 14th of 51
$224
AK $407UT $117
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.