How much rates vary
Facilitymedian $251 · 10th to 90th $30 to $550Professionalmedian $339 · 10th to 90th $58 to $1,995
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 $234.42 Median $489.78 Typical High $630.96 | Facility | None | $234.42 | $489.78 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $229.09 | $234.42 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $37.15 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $199.53 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $870.96 | Facility | None | $524.81 | $676.08 | $870.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $707.95 Typical High $1,995.26 | Professional | None (both parts) | $257.04 | $707.95 | $1,995.26 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $102.33 Typical High $416.87 | Professional | 26 · Professional part | $34.67 | $102.33 | $416.87 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $630.96 Typical High $1,819.70 | Professional | TC · Technical part | $239.88 | $630.96 | $1,819.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Facility | None | $363.08 | $416.87 | $549.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $245.47 | $269.15 | $537.03 |
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 $218.78 Median $501.19 Typical High $794.33 | Facility | None | $218.78 | $501.19 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $758.58 | Professional | None (both parts) | $281.84 | $316.23 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $44.67 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $269.15 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $269.15 | $645.65 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $169.82 Typical High $363.08 | Facility | None | $26.92 | $169.82 | $363.08 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $26.92 | $165.96 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $288.40 | $524.81 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $39.81 | $81.28 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $239.88 | $446.68 | $676.08 |
Health New England Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $954.99 | Facility | None | $588.84 | $776.25 | $954.99 |
Health New England Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $75.86 | Professional | None (both parts) | $53.70 | $60.26 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $870.96 | Facility | None | $524.81 | $676.08 | $870.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $257.04 Median $707.95 Typical High $1,995.26 | Professional | None (both parts) | $257.04 | $707.95 | $1,995.26 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $102.33 Typical High $416.87 | Professional | 26 · Professional part | $34.67 | $102.33 | $416.87 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $630.96 Typical High $1,819.70 | Professional | TC · Technical part | $239.88 | $630.96 | $1,819.70 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $1,023.29 | Professional | None (both parts) | $257.04 | $371.54 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $144.54 | Professional | 26 · Professional part | $32.36 | $51.29 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $218.78 | $331.13 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $389.05 | Facility | None | $190.55 | $263.03 | $389.05 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $26.92 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $380.19 | Facility | TC · Technical part | $162.18 | $213.80 | $380.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $245.47 | $245.47 | $295.12 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $22.91 | $27.54 |
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 $117.49 Median $117.49 Typical High $190.55 | Professional | 52 · Reduced service | $117.49 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $75.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $75.86 |
Where Massachusetts sits
The same service costs 3.2 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
$331
AK $603UT $191
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.