How much rates vary
Facilitymedian $380 · 10th to 90th $48 to $646Professionalmedian $479 · 10th to 90th $89 to $2,239
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 $436.52 Median $436.52 Typical High $812.83 | Facility | None | $436.52 | $436.52 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $346.74 | $436.52 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $54.95 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $588.84 | Professional | TC · Technical part | $281.84 | $380.19 | $588.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $1,047.13 Typical High $1,412.54 | Facility | None | $537.03 | $1,047.13 | $1,412.54 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,258.93 Typical High $2,238.72 | Professional | None (both parts) | $275.42 | $1,258.93 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $776.25 | Professional | 26 · Professional part | $64.57 | $218.78 | $776.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,096.48 Typical High $1,862.09 | Professional | TC · Technical part | $288.40 | $1,096.48 | $1,862.09 |
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 $66.07 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $66.07 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $891.25 | Facility | None | $239.88 | $512.86 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $426.58 | $478.63 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $912.01 | Professional | TC · Technical part | $346.74 | $407.38 | $912.01 |
Fallon Health Setting Facility Modifier None Typical Low $43.65 Median $269.15 Typical High $575.44 | Facility | None | $43.65 | $269.15 | $575.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $43.65 | $269.15 | $602.56 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $870.96 Typical High $1,148.15 | Professional | None (both parts) | $389.05 | $870.96 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $95.50 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $467.74 Typical High $933.25 | Professional | TC · Technical part | $389.05 | $467.74 | $933.25 |
Health New England Setting Facility Modifier None Typical Low $398.11 Median $426.58 Typical High $741.31 | Facility | None | $398.11 | $426.58 | $741.31 |
Health New England Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $426.58 | $426.58 | $489.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $1,047.13 Typical High $1,412.54 | Facility | None | $537.03 | $1,047.13 | $1,412.54 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,258.93 Typical High $2,238.72 | Professional | None (both parts) | $275.42 | $1,258.93 | $2,238.72 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $776.25 | Professional | 26 · Professional part | $64.57 | $218.78 | $776.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,096.48 Typical High $1,862.09 | Professional | TC · Technical part | $288.40 | $1,096.48 | $1,862.09 |
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 $245.47 Median $501.19 Typical High $1,318.26 | Professional | None (both parts) | $245.47 | $501.19 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $218.78 | Professional | 26 · Professional part | $60.26 | $83.18 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $457.09 Typical High $1,096.48 | Professional | TC · Technical part | $234.42 | $457.09 | $1,096.48 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $562.34 | Facility | None | $275.42 | $380.19 | $562.34 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $95.50 | Facility | 26 · Professional part | $41.69 | $53.70 | $95.50 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $537.03 | Facility | TC · Technical part | $234.42 | $302.00 | $537.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $213.80 | $213.80 | $257.04 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $39.81 | $44.67 | $53.70 |
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 $169.82 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $69.18 | $87.10 | $87.10 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 15th of 51
$468
AK $776NM $240
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.