How much rates vary
Facilitymedian $1,047 · 10th to 90th $100 to $2,042Professionalmedian $1,259 · 10th to 90th $200 to $4,365
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 $954.99 Median $1,819.70 Typical High $5,011.87 | Facility | None | $954.99 | $1,819.70 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,380.38 | Professional | None (both parts) | $954.99 | $954.99 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $114.82 | $114.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $831.76 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,715.35 | Facility | None | $1,995.26 | $2,754.23 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $2,884.03 Typical High $6,025.60 | Professional | None (both parts) | $1,000.00 | $2,884.03 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $323.59 Typical High $776.25 | Professional | 26 · Professional part | $112.20 | $323.59 | $776.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $2,630.27 Typical High $5,248.07 | Professional | TC · Technical part | $870.96 | $2,630.27 | $5,248.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,659.59 | $2,187.76 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $134.90 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,071.52 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,318.26 Typical High $2,951.21 | Professional | None (both parts) | $1,288.25 | $1,318.26 | $2,951.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $354.81 | Professional | 26 · Professional part | $151.36 | $151.36 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,174.90 Typical High $2,570.40 | Professional | TC · Technical part | $1,096.48 | $1,174.90 | $2,570.40 |
Fallon Health Setting Facility Modifier None Typical Low $89.13 Median $724.44 Typical High $1,548.82 | Facility | None | $89.13 | $724.44 | $1,548.82 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $89.13 | $724.44 | $1,621.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,819.70 Typical High $3,019.95 | Professional | None (both parts) | $1,230.27 | $1,819.70 | $3,019.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $144.54 | $208.93 | $346.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,548.82 Typical High $2,630.27 | Professional | TC · Technical part | $1,071.52 | $1,548.82 | $2,630.27 |
Health New England Setting Facility Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $9,332.54 | Facility | None | $2,089.30 | $2,884.03 | $9,332.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,000.00 | Professional | None (both parts) | $977.24 | $977.24 | $1,000.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,715.35 | Facility | None | $1,995.26 | $2,754.23 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $2,884.03 Typical High $6,025.60 | Professional | None (both parts) | $1,000.00 | $2,884.03 | $6,025.60 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $323.59 Typical High $776.25 | Professional | 26 · Professional part | $112.20 | $323.59 | $776.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $2,630.27 Typical High $5,248.07 | Professional | TC · Technical part | $870.96 | $2,630.27 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $3,388.44 | Facility | None | $1,202.26 | $2,290.87 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,513.56 Typical High $3,630.78 | Professional | None (both parts) | $1,047.13 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $194.98 Typical High $467.74 | Professional | 26 · Professional part | $134.90 | $194.98 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,348.96 Typical High $3,162.28 | Professional | TC · Technical part | $933.25 | $1,348.96 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,548.82 | Facility | None | $758.58 | $1,047.13 | $1,548.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $208.93 | Facility | 26 · Professional part | $91.20 | $117.49 | $208.93 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $870.96 Typical High $1,548.82 | Facility | TC · Technical part | $660.69 | $870.96 | $1,548.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None (both parts) | $870.96 | $870.96 | $1,047.13 |
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 $467.74 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $467.74 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $190.55 | $190.55 | $218.78 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $724.44 Median $831.76 Typical High $1,096.48 | Facility | 52 · Reduced service | $724.44 | $831.76 | $1,096.48 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $794.33 Typical High $1,348.96 | Professional | 52 · Reduced service | $616.60 | $794.33 | $1,348.96 |
Where Massachusetts sits
The same service costs 2.9 times more in Alaska 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· 20th of 51
$1,259
AK $2,138TX $741
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.