How much rates vary
Facilitymedian $135 · 10th to 90th $23 to $339Professionalmedian $166 · 10th to 90th $34 to $1,072
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 $125.89 Median $177.83 Typical High $446.68 | Facility | None | $125.89 | $177.83 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $125.89 | $125.89 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $22.39 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $104.71 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $426.58 | Facility | None | $263.03 | $331.13 | $426.58 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $134.90 Median $346.74 Typical High $1,071.52 | Professional | None (both parts) | $134.90 | $346.74 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $57.54 Typical High $245.47 | Professional | 26 · Professional part | $22.91 | $57.54 | $245.47 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $295.12 Typical High $954.99 | Professional | TC · Technical part | $114.82 | $295.12 | $954.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $269.15 | Facility | None | $162.18 | $204.17 | $269.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $154.88 | $177.83 | $263.03 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $22.39 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $512.86 | Facility | None | $134.90 | $338.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $151.36 | $158.49 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $25.12 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $128.82 | $131.83 | $316.23 |
Fallon Health Setting Facility Modifier None Typical Low $15.14 Median $81.28 Typical High $177.83 | Facility | None | $15.14 | $81.28 | $177.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $15.14 | $81.28 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $141.25 | $257.04 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $44.67 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $114.82 | $218.78 | $323.59 |
Health New England Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $831.76 | Facility | None | $371.54 | $562.34 | $831.76 |
Health New England Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $223.87 | Professional | None (both parts) | $33.88 | $42.66 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $426.58 | Facility | None | $263.03 | $331.13 | $426.58 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $134.90 Median $346.74 Typical High $1,071.52 | Professional | None (both parts) | $134.90 | $346.74 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $57.54 Typical High $245.47 | Professional | 26 · Professional part | $22.91 | $57.54 | $245.47 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $295.12 Typical High $954.99 | Professional | TC · Technical part | $114.82 | $295.12 | $954.99 |
Tufts Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $426.58 | Facility | None | $95.50 | $154.88 | $426.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $95.50 | $134.90 | $194.98 |
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 $123.03 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $123.03 | $199.53 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $81.28 | Professional | 26 · Professional part | $21.38 | $30.20 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $169.82 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $194.98 | Facility | None | $95.50 | $131.83 | $194.98 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $36.31 | Facility | 26 · Professional part | $15.49 | $20.42 | $36.31 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $181.97 | Facility | TC · Technical part | $79.43 | $102.33 | $181.97 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $131.83 | $131.83 | $158.49 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $21.38 | Professional | 26 · Professional part | $17.38 | $17.78 | $21.38 |
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 $63.10 Median $63.10 Typical High $95.50 | Professional | 52 · Reduced service | $63.10 | $63.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $38.02 | Professional | 53 · Discontinued | $25.12 | $25.12 | $38.02 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $11.22 Median $93.33 Typical High $128.82 | Facility | 52 · Reduced service | $11.22 | $93.33 | $128.82 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $25.70 Typical High $165.96 | Professional | 52 · Reduced service | $13.49 | $25.70 | $165.96 |
Where Massachusetts sits
The same service costs 4.0 times more in Minnesota 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· 18th of 51
$162
MN $380UT $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.