How much rates vary
Facilitymedian $43 · 10th to 90th $10 to $468Professionalmedian $58 · 10th to 90th $20 to $174
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 $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | None (both parts) | $39.81 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $28.18 | $28.18 | $33.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $602.56 | Facility | None | $134.90 | $173.78 | $602.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $46.77 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $46.77 | $123.03 | $251.19 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $30.90 Typical High $75.86 | Professional | 26 · Professional part | $12.88 | $30.90 | $75.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $33.88 | $93.33 | $186.21 |
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 $13.80 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $13.80 | $13.80 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $263.03 Typical High $602.56 | Facility | None | $56.23 | $263.03 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $61.66 | $70.79 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $34.67 | Professional | 26 · Professional part | $16.98 | $17.78 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $44.67 | $52.48 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $9.12 Median $33.11 Typical High $72.44 | Facility | None | $9.12 | $33.11 | $72.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $33.11 Typical High $77.62 | Professional | None (both parts) | $9.33 | $33.11 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $47.86 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $47.86 | $100.00 | $147.91 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $25.70 | $35.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $38.90 | $57.54 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $602.56 | Facility | None | $134.90 | $173.78 | $602.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $46.77 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $46.77 | $123.03 | $251.19 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $30.90 Typical High $75.86 | Professional | 26 · Professional part | $12.88 | $30.90 | $75.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $33.88 | $93.33 | $186.21 |
United Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $501.19 | Facility | None | $177.83 | $338.84 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $57.54 Typical High $162.18 | Professional | None (both parts) | $43.65 | $57.54 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $46.77 | Professional | 26 · Professional part | $12.88 | $16.60 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $114.82 | Professional | TC · Technical part | $30.90 | $42.66 | $114.82 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Facility | None | $30.90 | $42.66 | $63.10 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $20.89 | Facility | 26 · Professional part | $8.91 | $11.75 | $20.89 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $51.29 | Facility | TC · Technical part | $21.88 | $28.84 | $51.29 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | None (both parts) | $33.88 | $33.88 | $45.71 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $9.55 | $9.55 | $12.88 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $24.55 | $24.55 | $33.11 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Where Massachusetts sits
The same service costs 2.9 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· 17th of 51
$57.54
AK $89.13UT $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.