How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $20.42 | Facility | 26 · Professional part | $12.30 | $12.30 | $20.42 |
Aetna Setting Professional Modifier Global Typical Low $38.90 Median $69.18 Typical High $281.84 | Professional | Global | $38.90 | $69.18 | $281.84 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 25 · Same-day visit | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.98 Typical High $57.54 | Professional | 26 · Professional part | $10.00 | $16.98 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $26.30 | $45.71 | $77.62 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $24.55 Typical High $100.00 | Facility | 26 · Professional part | $7.76 | $24.55 | $100.00 |
AllWays Health Partners Setting Professional Modifier Global Typical Low $44.67 Median $83.18 Typical High $630.96 | Professional | Global | $44.67 | $83.18 | $630.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.50 Typical High $229.09 | Professional | 26 · Professional part | $11.22 | $19.50 | $229.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $269.15 | Professional | TC · Technical part | $35.48 | $67.61 | $269.15 |
BCBS Setting Professional Modifier Global Typical Low $47.86 Median $83.18 Typical High $109.65 | Professional | Global | $47.86 | $83.18 | $109.65 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $19.50 | $25.70 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $63.10 | $83.18 |
Cigna Setting Professional Modifier Global Typical Low $48.98 Median $75.86 Typical High $141.25 | Professional | Global | $48.98 | $75.86 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $17.38 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $57.54 | $104.71 |
Fallon Health Setting Professional Modifier Global Typical Low $6.92 Median $25.70 Typical High $66.07 | Professional | Global | $6.92 | $25.70 | $66.07 |
Harvard Pilgrim Setting Professional Modifier Global Typical Low $52.48 Median $83.18 Typical High $123.03 | Professional | Global | $52.48 | $83.18 | $123.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $10.72 | $18.62 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $33.88 | $58.88 | $87.10 |
Health New England Setting Professional Modifier Global Typical Low $12.02 Median $31.62 Typical High $134.90 | Professional | Global | $12.02 | $31.62 | $134.90 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $24.55 Typical High $100.00 | Facility | 26 · Professional part | $7.76 | $24.55 | $100.00 |
Mass General Brigham Setting Professional Modifier Global Typical Low $44.67 Median $83.18 Typical High $630.96 | Professional | Global | $44.67 | $83.18 | $630.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.50 Typical High $229.09 | Professional | 26 · Professional part | $11.22 | $19.50 | $229.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $269.15 | Professional | TC · Technical part | $35.48 | $67.61 | $269.15 |
Tufts Setting Professional Modifier Global Typical Low $31.62 Median $54.95 Typical High $93.33 | Professional | Global | $31.62 | $54.95 | $93.33 |
United Setting Professional Modifier Global Typical Low $52.48 Median $89.13 Typical High $134.90 | Professional | Global | $52.48 | $89.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $12.30 | $20.42 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $67.61 | $100.00 |
Where Massachusetts sits
The same service costs 2.5 times more in South Dakota than in Texas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
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.