How much rates vary
Facilitymedian $93 · 10th to 90th $10 to $251Professionalmedian $120 · 10th to 90th $19 to $794
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 $93.33 Median $251.19 Typical High $416.87 | Facility | None | $93.33 | $251.19 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $223.87 | Professional | None (both parts) | $93.33 | $93.33 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $28.84 | Professional | 26 · Professional part | $11.48 | $11.48 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $81.28 | $194.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $234.42 Median $245.47 Typical High $338.84 | Facility | None | $234.42 | $245.47 | $338.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $87.10 Median $245.47 Typical High $794.33 | Professional | None (both parts) | $87.10 | $245.47 | $794.33 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $32.36 Typical High $275.42 | Professional | 26 · Professional part | $12.30 | $32.36 | $275.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $85.11 | $218.78 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $257.04 | Facility | None | $165.96 | $190.55 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $107.15 | $162.18 | $281.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $275.42 Typical High $354.81 | Facility | None | $112.20 | $275.42 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $257.04 | Professional | None (both parts) | $100.00 | $109.65 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $33.11 | Professional | 26 · Professional part | $13.80 | $14.13 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $95.50 | $218.78 |
Fallon Health Setting Facility Modifier None Typical Low $8.51 Median $58.88 Typical High $125.89 | Facility | None | $8.51 | $58.88 | $125.89 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $58.88 Typical High $131.83 | Professional | None (both parts) | $8.51 | $58.88 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $100.00 | $186.21 | $281.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $13.80 | $25.70 | $38.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $162.18 | $239.88 |
Health New England Setting Facility Modifier None Typical Low $229.09 Median $467.74 Typical High $562.34 | Facility | None | $229.09 | $467.74 | $562.34 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.05 Typical High $144.54 | Professional | None (both parts) | $18.20 | $19.05 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $245.47 Typical High $338.84 | Facility | None | $234.42 | $245.47 | $338.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $87.10 Median $245.47 Typical High $794.33 | Professional | None (both parts) | $87.10 | $245.47 | $794.33 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $32.36 Typical High $275.42 | Professional | 26 · Professional part | $12.30 | $32.36 | $275.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $85.11 | $218.78 | $724.44 |
Tufts Setting Facility Modifier None Typical Low $64.57 Median $204.17 Typical High $407.38 | Facility | None | $64.57 | $204.17 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $81.28 | $81.28 | $154.88 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $87.10 | $141.25 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $46.77 | Professional | 26 · Professional part | $12.02 | $16.98 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $74.13 | $123.03 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $134.90 | Facility | None | $64.57 | $89.13 | $134.90 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $20.42 | Facility | 26 · Professional part | $8.71 | $11.48 | $20.42 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $131.83 | Facility | TC · Technical part | $56.23 | $72.44 | $131.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $9.12 | $9.77 | $11.75 |
4 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 $46.77 Median $46.77 Typical High $70.79 | Professional | 52 · Reduced service | $46.77 | $46.77 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $28.84 | Professional | 53 · Discontinued | $18.62 | $18.62 | $28.84 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $85.11 Median $95.50 Typical High $128.82 | Facility | 52 · Reduced service | $85.11 | $95.50 | $128.82 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $10.47 Typical High $81.28 | Professional | 52 · Reduced service | $6.46 | $10.47 | $81.28 |
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· 17th of 51
$117
AK $209UT $63.10
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.