How much rates vary
Facilitymedian $129 · 10th to 90th $18 to $269Professionalmedian $170 · 10th to 90th $35 to $1,047
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 $134.90 Median $389.05 Typical High $407.38 | Facility | None | $134.90 | $389.05 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $134.90 | $134.90 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $23.44 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $112.20 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $346.74 Typical High $446.68 | Facility | None | $263.03 | $346.74 | $446.68 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $141.25 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $141.25 | $363.08 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $19.50 | $63.10 | $208.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $309.03 Typical High $954.99 | Professional | TC · Technical part | $109.65 | $309.03 | $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 $134.90 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $134.90 | $275.42 | $338.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $25.12 | $25.12 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $512.86 | Facility | None | $134.90 | $323.59 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $151.36 | $162.18 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $27.54 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $134.90 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $83.18 Typical High $181.97 | Facility | None | $16.60 | $83.18 | $181.97 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $83.18 Typical High $190.55 | Professional | None (both parts) | $16.60 | $83.18 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $144.54 | $269.15 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $23.99 | $50.12 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $223.87 | $331.13 |
Health New England Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $851.14 | Facility | None | $309.03 | $512.86 | $851.14 |
Health New England Setting Professional Modifier None (both parts) Typical Low $34.67 Median $35.48 Typical High $38.90 | Professional | None (both parts) | $34.67 | $35.48 | $38.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $346.74 Typical High $446.68 | Facility | None | $263.03 | $346.74 | $446.68 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $141.25 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $141.25 | $363.08 | $1,047.13 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $19.50 | $63.10 | $208.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $309.03 Typical High $954.99 | Professional | TC · Technical part | $109.65 | $309.03 | $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 $17.38 Median $32.36 Typical High $91.20 | Professional | 26 · Professional part | $17.38 | $32.36 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $426.58 | Professional | TC · Technical part | $107.15 | $173.78 | $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 $16.98 Median $21.88 Typical High $38.90 | Facility | 26 · Professional part | $16.98 | $21.88 | $38.90 |
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 $128.82 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $128.82 | $128.82 | $154.88 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $14.79 | Professional | 26 · Professional part | $11.48 | $12.30 | $14.79 |
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 $67.61 Median $67.61 Typical High $97.72 | Professional | 52 · Reduced service | $67.61 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $39.81 | Professional | 53 · Discontinued | $26.92 | $26.92 | $39.81 |
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· 21st of 51
$166
AK $302UT $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.