How much rates vary
Facilitymedian $759 · 10th to 90th $182 to $3,311Professionalmedian $490 · 10th to 90th $112 to $1,862
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $954.99 Typical High $1,122.02 | Facility | None | $316.23 | $954.99 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $263.03 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $263.03 | $912.01 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $316.23 Typical High $741.31 | Professional | 26 · Professional part | $120.23 | $316.23 | $741.31 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $501.19 Typical High $1,122.02 | Professional | TC · Technical part | $186.21 | $501.19 | $1,122.02 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Facility | None | $707.95 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $812.83 Typical High $1,288.25 | Facility | None | $269.15 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $870.96 | Professional | None (both parts) | $489.78 | $489.78 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $346.74 | Professional | 26 · Professional part | $186.21 | $186.21 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $309.03 | $309.03 | $524.81 |
Fallon Health Setting Facility Modifier None Typical Low $181.97 Median $331.13 Typical High $1,995.26 | Facility | None | $181.97 | $331.13 | $1,995.26 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $181.97 | $281.84 | $537.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $331.13 Median $691.83 Typical High $1,000.00 | Professional | None (both parts) | $331.13 | $691.83 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $204.17 Typical High $407.38 | Professional | 26 · Professional part | $123.03 | $204.17 | $407.38 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $331.13 | $616.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $954.99 Typical High $1,122.02 | Facility | None | $316.23 | $954.99 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $263.03 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $263.03 | $912.01 | $1,862.09 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $316.23 Typical High $741.31 | Professional | 26 · Professional part | $120.23 | $316.23 | $741.31 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $501.19 Typical High $1,122.02 | Professional | TC · Technical part | $186.21 | $501.19 | $1,122.02 |
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 $281.84 Median $389.05 Typical High $1,096.48 | Professional | None (both parts) | $281.84 | $389.05 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $416.87 | Professional | 26 · Professional part | $107.15 | $147.91 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $691.83 | Professional | TC · Technical part | $173.78 | $245.47 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $114.82 Median $3,090.30 Typical High $4,897.79 | Facility | None | $114.82 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,388.44 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Massachusetts sits
The same service costs 9.8 times more in Alaska than in New York. 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· 5th of 51
$490
AK $631NY $64.57
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.