How much rates vary
Facilitymedian $98 · 10th to 90th $43 to $263Professionalmedian $170 · 10th to 90th $62 to $1,096
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 $120.23 Median $794.33 Typical High $954.99 | Facility | None | $120.23 | $794.33 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $120.23 | $120.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $57.54 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $61.66 | $169.82 |
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 $125.89 Median $346.74 Typical High $1,096.48 | Professional | None (both parts) | $125.89 | $346.74 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $165.96 Typical High $371.54 | Professional | 26 · Professional part | $64.57 | $165.96 | $371.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $204.17 Typical High $724.44 | Professional | TC · Technical part | $72.44 | $204.17 | $724.44 |
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 $144.54 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $144.54 | $251.19 | $426.58 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $354.81 Typical High $794.33 | Facility | None | $100.00 | $354.81 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $346.74 | Professional | None (both parts) | $151.36 | $151.36 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $72.44 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $79.43 | $177.83 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $83.18 Typical High $181.97 | Facility | None | $41.69 | $83.18 | $181.97 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $41.69 | $85.11 | $181.97 |
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 $67.61 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $67.61 | $131.83 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $138.04 | $208.93 |
Health New England Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
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 $125.89 Median $346.74 Typical High $1,096.48 | Professional | None (both parts) | $125.89 | $346.74 | $1,096.48 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $165.96 Typical High $371.54 | Professional | 26 · Professional part | $64.57 | $165.96 | $371.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $204.17 Typical High $724.44 | Professional | TC · Technical part | $72.44 | $204.17 | $724.44 |
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 $125.89 Median $204.17 Typical High $478.63 | Professional | None (both parts) | $125.89 | $204.17 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $229.09 | Professional | 26 · Professional part | $58.88 | $83.18 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $63.10 | $109.65 | $245.47 |
Well Sense Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $181.97 | Facility | None | $89.13 | $123.03 | $181.97 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $100.00 | Facility | 26 · Professional part | $43.65 | $56.23 | $100.00 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $107.15 | Facility | TC · Technical part | $45.71 | $60.26 | $107.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $138.04 | $138.04 | $165.96 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $50.12 | $58.88 |
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 $60.26 Median $60.26 Typical High $112.20 | Professional | 52 · Reduced service | $60.26 | $60.26 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | 53 · Discontinued | $23.99 | $23.99 | $44.67 |
Where Massachusetts sits
The same service costs 4.6 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· 27th of 51
$166
AK $316UT $69.18
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.