How much rates vary
Facilitymedian $38 · 10th to 90th $12 to $490Professionalmedian $51 · 10th to 90th $20 to $347
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 $39.81 Median $39.81 Typical High $123.03 | Facility | None | $39.81 | $39.81 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $112.20 | Professional | None (both parts) | $39.81 | $39.81 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $14.13 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $75.86 | Professional | TC · Technical part | $25.70 | $25.70 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $602.56 | Facility | None | $117.49 | $151.36 | $602.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $38.02 Median $112.20 Typical High $346.74 | Professional | None (both parts) | $38.02 | $112.20 | $346.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $15.49 | $38.02 | $89.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $75.86 Typical High $199.53 | Professional | TC · Technical part | $25.70 | $75.86 | $199.53 |
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 $50.12 Median $50.12 Typical High $102.33 | Professional | None (both parts) | $50.12 | $50.12 | $102.33 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $27.54 | Professional | 26 · Professional part | $16.22 | $16.22 | $27.54 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $58.88 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $229.09 Typical High $741.31 | Facility | None | $40.74 | $229.09 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $114.82 | Professional | None (both parts) | $53.70 | $61.66 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $19.50 | $20.89 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $33.88 | $40.74 | $74.13 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $28.18 Typical High $63.10 | Facility | None | $10.72 | $28.18 | $63.10 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $28.18 Typical High $64.57 | Professional | None (both parts) | $10.96 | $28.18 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $44.67 | $89.13 | $128.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $16.22 | $30.20 | $43.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $28.84 | $58.88 | $83.18 |
Health New England Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $676.08 | Facility | None | $331.13 | $602.56 | $676.08 |
Health New England Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $128.82 | Professional | None (both parts) | $56.23 | $57.54 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $602.56 | Facility | None | $117.49 | $151.36 | $602.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $38.02 Median $112.20 Typical High $346.74 | Professional | None (both parts) | $38.02 | $112.20 | $346.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $15.49 | $38.02 | $89.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $75.86 Typical High $199.53 | Professional | TC · Technical part | $25.70 | $75.86 | $199.53 |
Tufts Setting Professional Modifier None (both parts) Typical Low $29.51 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $29.51 | $64.57 | $64.57 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $147.91 | Professional | None (both parts) | $38.90 | $54.95 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $54.95 | Professional | 26 · Professional part | $15.14 | $19.50 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $97.72 | Professional | TC · Technical part | $24.55 | $34.67 | $97.72 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $39.81 Typical High $61.66 | Facility | None | $19.05 | $39.81 | $61.66 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $24.55 | Facility | 26 · Professional part | $10.47 | $13.80 | $24.55 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $44.67 | Facility | TC · Technical part | $19.05 | $25.12 | $44.67 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | None (both parts) | $29.51 | $29.51 | $39.81 |
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 $18.62 Median $18.62 Typical High $25.12 | Professional | TC · Technical part | $18.62 | $18.62 | $25.12 |
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 $19.95 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $7.94 | $9.77 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 78 · Unplanned return to OR | $19.05 | $19.05 | $25.70 |
Where Massachusetts sits
The same service costs 2.7 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· 20th of 51
$51.29
MN $83.18UT $30.90
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.