How much rates vary
Facilitymedian $47 · 10th to 90th $11 to $537Professionalmedian $63 · 10th to 90th $19 to $234
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 $63.10 Median $77.62 Typical High $309.03 | Facility | None | $63.10 | $77.62 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $117.49 | Professional | None (both parts) | $63.10 | $63.10 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $12.30 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $48.98 | $50.12 | $91.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $602.56 | Facility | None | $123.03 | $158.49 | $602.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $44.67 Median $114.82 Typical High $630.96 | Professional | None (both parts) | $44.67 | $114.82 | $630.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $27.54 Typical High $229.09 | Professional | 26 · Professional part | $13.49 | $27.54 | $229.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $95.50 Typical High $269.15 | Professional | TC · Technical part | $46.77 | $95.50 | $269.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $602.56 | Facility | None | $389.05 | $457.09 | $602.56 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $52.48 | $52.48 | $91.20 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $11.75 | $11.75 | $19.95 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | TC · Technical part | $40.74 | $40.74 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $457.09 Typical High $741.31 | Facility | None | $50.12 | $457.09 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $61.66 | $61.66 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $14.79 | $14.79 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $47.86 | $89.13 |
Fallon Health Setting Facility Modifier None Typical Low $7.59 Median $30.20 Typical High $70.79 | Facility | None | $7.59 | $30.20 | $70.79 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $7.76 Median $30.20 Typical High $70.79 | Professional | None (both parts) | $7.76 | $30.20 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $52.48 | $95.50 | $131.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $12.59 | $21.88 | $32.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $74.13 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $74.13 | $100.00 |
Health New England Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $691.83 | Facility | None | $346.74 | $389.05 | $691.83 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.99 Typical High $79.43 | Professional | None (both parts) | $18.62 | $23.99 | $79.43 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $602.56 | Facility | None | $123.03 | $158.49 | $602.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $44.67 Median $114.82 Typical High $630.96 | Professional | None (both parts) | $44.67 | $114.82 | $630.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $27.54 Typical High $229.09 | Professional | 26 · Professional part | $13.49 | $27.54 | $229.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $95.50 Typical High $269.15 | Professional | TC · Technical part | $46.77 | $95.50 | $269.15 |
Tufts Setting Facility Modifier None Typical Low $30.20 Median $426.58 Typical High $758.58 | Facility | None | $30.20 | $426.58 | $758.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $31.62 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $31.62 | $57.54 | $97.72 |
United Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,479.11 | Facility | None | $524.81 | $977.24 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $173.78 | Professional | None (both parts) | $58.88 | $83.18 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $40.74 | Professional | 26 · Professional part | $13.49 | $17.38 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $67.61 | $138.04 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $61.66 | Facility | None | $30.20 | $41.69 | $61.66 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $17.38 | Facility | 26 · Professional part | $7.41 | $9.77 | $17.38 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $52.48 | Facility | TC · Technical part | $22.91 | $29.51 | $52.48 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $63.10 | Professional | None (both parts) | $46.77 | $46.77 | $63.10 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $10.96 | $11.48 | $14.79 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $35.48 | $35.48 | $47.86 |
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 $31.62 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $13.49 | Professional | 53 · Discontinued | $12.59 | $12.59 | $13.49 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $43.65 Typical High $58.88 | Professional | 52 · Reduced service | $26.30 | $43.65 | $58.88 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $29.51 | $29.51 | $39.81 |
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· 18th of 51
$63.10
MN $105UT $31.62
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.