How much rates vary
Facilitymedian $58 · 10th to 90th $23 to $537Professionalmedian $85 · 10th to 90th $35 to $759
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 $58.88 Median $58.88 Typical High $194.98 | Facility | None | $58.88 | $58.88 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $186.21 | Professional | None (both parts) | $58.88 | $58.88 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $26.92 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $109.65 | Professional | TC · Technical part | $32.36 | $32.36 | $109.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $602.56 | Facility | None | $194.98 | $251.19 | $602.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $61.66 Median $181.97 Typical High $758.58 | Professional | None (both parts) | $61.66 | $181.97 | $758.58 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $75.86 Typical High $338.84 | Professional | 26 · Professional part | $30.90 | $75.86 | $338.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $109.65 Typical High $588.84 | Professional | TC · Technical part | $37.15 | $109.65 | $588.84 |
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 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $32.36 | $56.23 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $87.10 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $512.86 Typical High $912.01 | Facility | None | $61.66 | $512.86 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $91.20 | $100.00 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $39.81 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $58.88 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $46.77 Typical High $104.71 | Facility | None | $21.38 | $46.77 | $104.71 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $47.86 Typical High $104.71 | Professional | None (both parts) | $21.88 | $47.86 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $67.61 | $147.91 | $213.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $60.26 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $37.15 | $87.10 | $120.23 |
Health New England Setting Facility Modifier None Typical Low $371.54 Median $812.83 Typical High $1,071.52 | Facility | None | $371.54 | $812.83 | $1,071.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $25.12 Median $50.12 Typical High $56.23 | Professional | None (both parts) | $25.12 | $50.12 | $56.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $602.56 | Facility | None | $194.98 | $251.19 | $602.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $61.66 Median $181.97 Typical High $758.58 | Professional | None (both parts) | $61.66 | $181.97 | $758.58 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $75.86 Typical High $338.84 | Professional | 26 · Professional part | $30.90 | $75.86 | $338.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $109.65 Typical High $588.84 | Professional | TC · Technical part | $37.15 | $109.65 | $588.84 |
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 $60.26 Median $81.28 Typical High $229.09 | Professional | None (both parts) | $60.26 | $81.28 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $104.71 | Professional | 26 · Professional part | $28.84 | $38.02 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $123.03 | Professional | TC · Technical part | $31.62 | $44.67 | $123.03 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $97.72 | Facility | None | $46.77 | $64.57 | $97.72 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $46.77 | Facility | 26 · Professional part | $19.95 | $26.30 | $46.77 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $63.10 | Facility | TC · Technical part | $26.92 | $35.48 | $63.10 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $45.71 | $45.71 | $61.66 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | 26 · Professional part | $21.38 | $22.39 | $28.84 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | TC · Technical part | $23.99 | $23.99 | $32.36 |
3 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 $29.51 Median $29.51 Typical High $38.02 | Professional | 52 · Reduced service | $29.51 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | 53 · Discontinued | $12.02 | $12.02 | $15.14 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | 78 · Unplanned return to OR | $28.84 | $28.84 | $38.90 |
Where Massachusetts sits
The same service costs 3.6 times more in Minnesota than in Texas. 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· 16th of 51
$85.11
MN $141TX $38.90
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.