How much rates vary
Facilitymedian $417 · 10th to 90th $72 to $794Professionalmedian $589 · 10th to 90th $148 to $2,754
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 $512.86 Median $512.86 Typical High $977.24 | Facility | None | $512.86 | $512.86 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $407.38 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $89.13 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $537.03 | Professional | TC · Technical part | $323.59 | $426.58 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $1,288.25 Typical High $1,778.28 | Facility | None | $537.03 | $1,288.25 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,584.89 Typical High $2,754.23 | Professional | None (both parts) | $338.84 | $1,584.89 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $331.13 Typical High $776.25 | Professional | 26 · Professional part | $97.72 | $331.13 | $776.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,318.26 Typical High $2,187.76 | Professional | TC · Technical part | $338.84 | $1,318.26 | $2,187.76 |
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 $588.84 Median $588.84 Typical High $1,096.48 | Professional | None (both parts) | $588.84 | $588.84 | $1,096.48 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $100.00 | $100.00 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $562.34 Typical High $891.25 | Facility | None | $239.88 | $562.34 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $1,318.26 | Professional | None (both parts) | $524.81 | $602.56 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $104.71 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $501.19 Typical High $1,071.52 | Professional | TC · Technical part | $426.58 | $501.19 | $1,071.52 |
Fallon Health Setting Facility Modifier None Typical Low $66.07 Median $331.13 Typical High $724.44 | Facility | None | $66.07 | $331.13 | $724.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $66.07 | $331.13 | $724.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $1,380.38 | Professional | None (both parts) | $489.78 | $691.83 | $1,380.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $107.15 | $144.54 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $645.65 Typical High $1,122.02 | Professional | TC · Technical part | $398.11 | $645.65 | $1,122.02 |
Health New England Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $794.33 | Facility | None | $562.34 | $691.83 | $794.33 |
Health New England Setting Professional Modifier None (both parts) Typical Low $213.80 Median $676.08 Typical High $741.31 | Professional | None (both parts) | $213.80 | $676.08 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $1,288.25 Typical High $1,778.28 | Facility | None | $537.03 | $1,288.25 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,584.89 Typical High $2,754.23 | Professional | None (both parts) | $338.84 | $1,584.89 | $2,754.23 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $331.13 Typical High $776.25 | Professional | 26 · Professional part | $97.72 | $331.13 | $776.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,318.26 Typical High $2,187.76 | Professional | TC · Technical part | $338.84 | $1,318.26 | $2,187.76 |
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 $316.23 Median $602.56 Typical High $1,621.81 | Professional | None (both parts) | $316.23 | $602.56 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $331.13 | Professional | 26 · Professional part | $93.33 | $131.83 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $1,318.26 | Professional | TC · Technical part | $275.42 | $537.03 | $1,318.26 |
Well Sense Setting Facility Modifier None Typical Low $338.84 Median $467.74 Typical High $691.83 | Facility | None | $338.84 | $467.74 | $691.83 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $144.54 | Facility | 26 · Professional part | $63.10 | $81.28 | $144.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $363.08 Typical High $645.65 | Facility | TC · Technical part | $275.42 | $363.08 | $645.65 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $257.04 | $257.04 | $309.03 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $70.79 | $83.18 |
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 $204.17 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $104.71 | $104.71 |
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· 16th of 51
$589
AK $977NM $302
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.