How much rates vary
Facilitymedian $282 · 10th to 90th $56 to $589Professionalmedian $355 · 10th to 90th $87 to $2,455
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 $251.19 Median $398.11 Typical High $575.44 | Facility | None | $251.19 | $398.11 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $691.83 | Professional | None (both parts) | $251.19 | $257.04 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $58.88 | $131.83 |
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 $741.31 Typical High $954.99 | Facility | None | $524.81 | $741.31 | $954.99 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $281.84 Median $758.58 Typical High $2,454.71 | Professional | None (both parts) | $281.84 | $758.58 | $2,454.71 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $147.91 Typical High $524.81 | Professional | 26 · Professional part | $60.26 | $147.91 | $524.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $645.65 Typical High $1,905.46 | Professional | TC · Technical part | $251.19 | $645.65 | $1,905.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $562.34 | Facility | None | $331.13 | $416.87 | $562.34 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $245.47 | $281.84 | $588.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $58.88 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $524.81 Typical High $812.83 | Facility | None | $218.78 | $524.81 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $331.13 | $346.74 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $66.07 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $263.03 | $281.84 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $38.90 Median $173.78 Typical High $389.05 | Facility | None | $38.90 | $173.78 | $389.05 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $38.90 | $173.78 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $316.23 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $316.23 | $575.44 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $120.23 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $457.09 Typical High $691.83 | Professional | TC · Technical part | $251.19 | $457.09 | $691.83 |
Health New England Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,202.26 | Facility | None | $426.58 | $660.69 | $1,202.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $478.63 | Professional | None (both parts) | $85.11 | $112.20 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $954.99 | Facility | None | $524.81 | $741.31 | $954.99 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $281.84 Median $758.58 Typical High $2,454.71 | Professional | None (both parts) | $281.84 | $758.58 | $2,454.71 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $147.91 Typical High $524.81 | Professional | 26 · Professional part | $60.26 | $147.91 | $524.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $645.65 Typical High $1,905.46 | Professional | TC · Technical part | $251.19 | $645.65 | $1,905.46 |
Tufts Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $630.96 | Facility | None | $208.93 | $316.23 | $630.96 |
Tufts Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $208.93 | $323.59 | $524.81 |
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 $281.84 Median $457.09 Typical High $1,122.02 | Professional | None (both parts) | $281.84 | $457.09 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $213.80 | Professional | 26 · Professional part | $58.88 | $93.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $354.81 | $891.25 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $436.52 | Facility | None | $208.93 | $288.40 | $436.52 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $95.50 | Facility | 26 · Professional part | $40.74 | $52.48 | $95.50 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $398.11 | Facility | TC · Technical part | $169.82 | $218.78 | $398.11 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $295.12 | $295.12 | $354.81 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $70.79 | $85.11 |
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 $125.89 Median $125.89 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $50.12 | $85.11 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $181.97 Median $208.93 Typical High $275.42 | Facility | 52 · Reduced service | $181.97 | $208.93 | $275.42 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $40.74 Typical High $67.61 | Professional | 52 · Reduced service | $29.51 | $40.74 | $67.61 |
Where Massachusetts sits
The same service costs 3.3 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· 22nd of 51
$347
MN $676UT $204
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.