How much rates vary
Facilitymedian $170 · 10th to 90th $19 to $339Professionalmedian $234 · 10th to 90th $37 to $1,479
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 $177.83 Median $524.81 Typical High $794.33 | Facility | None | $177.83 | $524.81 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $446.68 | Professional | None (both parts) | $177.83 | $177.83 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $22.91 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $154.88 | $389.05 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $602.56 | Facility | None | $295.12 | $467.74 | $602.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $169.82 Median $489.78 Typical High $1,479.11 | Professional | None (both parts) | $169.82 | $489.78 | $1,479.11 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $66.07 Typical High $309.03 | Professional | 26 · Professional part | $25.12 | $66.07 | $309.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $436.52 Typical High $1,318.26 | Professional | TC · Technical part | $169.82 | $436.52 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Facility | None | $213.80 | $245.47 | $323.59 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $181.97 | $316.23 | $588.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $26.30 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $426.58 Typical High $562.34 | Facility | None | $151.36 | $426.58 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $194.98 | $213.80 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $28.18 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $181.97 | $426.58 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $117.49 Typical High $251.19 | Facility | None | $17.38 | $117.49 | $251.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $117.49 Typical High $263.03 | Professional | None (both parts) | $17.38 | $117.49 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $194.98 | $363.08 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $52.48 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $316.23 | $467.74 |
Health New England Setting Facility Modifier None Typical Low $288.40 Median $676.08 Typical High $1,047.13 | Facility | None | $288.40 | $676.08 | $1,047.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $37.15 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $37.15 | $57.54 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $602.56 | Facility | None | $295.12 | $467.74 | $602.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $169.82 Median $489.78 Typical High $1,479.11 | Professional | None (both parts) | $169.82 | $489.78 | $1,479.11 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $66.07 Typical High $309.03 | Professional | 26 · Professional part | $25.12 | $66.07 | $309.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $436.52 Typical High $1,318.26 | Professional | TC · Technical part | $169.82 | $436.52 | $1,318.26 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $660.69 | Professional | None (both parts) | $165.96 | $257.04 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $91.20 | Professional | 26 · Professional part | $23.99 | $33.11 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $144.54 | $229.09 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
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 $107.15 Median $138.04 Typical High $251.19 | Facility | TC · Technical part | $107.15 | $138.04 | $251.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $186.21 | $186.21 | $218.78 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $23.99 | Professional | 26 · Professional part | $19.05 | $19.95 | $23.99 |
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 $89.13 Median $89.13 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $89.13 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $36.31 | $54.95 |
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· 16th of 51
$229
AK $417UT $126
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.