How much rates vary
Facilitymedian $245 · 10th to 90th $30 to $501Professionalmedian $347 · 10th to 90th $59 to $1,622
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $281.84 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $38.02 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $245.47 | $251.19 | $316.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $851.14 | Facility | None | $537.03 | $630.96 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $281.84 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $281.84 | $724.44 | $1,621.81 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $39.81 | $95.50 | $234.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $616.60 Typical High $1,380.38 | Professional | TC · Technical part | $245.47 | $616.60 | $1,380.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $346.74 Median $407.38 Typical High $537.03 | Facility | None | $346.74 | $407.38 | $537.03 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $251.19 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $251.19 | $501.19 | $776.25 |
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 $95.50 Median $331.13 Typical High $602.56 | Facility | None | $95.50 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $776.25 | Professional | None (both parts) | $309.03 | $323.59 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $44.67 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $281.84 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $177.83 Typical High $380.19 | Facility | None | $26.92 | $177.83 | $380.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $26.92 | $177.83 | $398.11 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $302.00 | $549.54 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $81.28 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $467.74 Typical High $707.95 | Professional | TC · Technical part | $257.04 | $467.74 | $707.95 |
Health New England Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $588.84 | Facility | None | $269.15 | $457.09 | $588.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $851.14 | Facility | None | $537.03 | $630.96 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $281.84 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $281.84 | $724.44 | $1,621.81 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $39.81 | $95.50 | $234.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $616.60 Typical High $1,380.38 | Professional | TC · Technical part | $245.47 | $616.60 | $1,380.38 |
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 $269.15 Median $380.19 Typical High $1,071.52 | Professional | None (both parts) | $269.15 | $380.19 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $141.25 | Professional | 26 · Professional part | $36.31 | $52.48 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $234.42 | $338.84 | $933.25 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $269.15 Typical High $407.38 | Facility | None | $194.98 | $269.15 | $407.38 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $27.54 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $389.05 | Facility | TC · Technical part | $169.82 | $218.78 | $389.05 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $229.09 | $229.09 | $269.15 |
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 $141.25 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $141.25 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $57.54 | $57.54 |
Where Massachusetts sits
The same service costs 3.1 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· 15th of 51
$339
AK $631UT $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.