How much rates vary
Facilitymedian $389 · 10th to 90th $46 to $692Professionalmedian $501 · 10th to 90th $95 to $2,455
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 $275.42 Median $371.54 Typical High $758.58 | Facility | None | $275.42 | $371.54 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $354.81 | $371.54 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $54.95 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $316.23 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $1,513.56 | Facility | None | $537.03 | $1,122.02 | $1,513.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,380.38 Typical High $2,454.71 | Professional | None (both parts) | $302.00 | $1,380.38 | $2,454.71 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $354.81 | Professional | 26 · Professional part | $64.57 | $218.78 | $354.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,258.93 Typical High $2,089.30 | Professional | TC · Technical part | $309.03 | $1,258.93 | $2,089.30 |
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 $501.19 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $501.19 | $501.19 | $912.01 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $64.57 | $117.49 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $812.83 | Professional | TC · Technical part | $446.68 | $446.68 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $537.03 Typical High $891.25 | Facility | None | $194.98 | $537.03 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $1,174.90 | Professional | None (both parts) | $457.09 | $524.81 | $1,174.90 |
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 $389.05 Median $457.09 Typical High $1,023.29 | Professional | TC · Technical part | $389.05 | $457.09 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $295.12 Typical High $630.96 | Facility | None | $41.69 | $295.12 | $630.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $41.69 | $295.12 | $660.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $426.58 | $616.60 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $95.50 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $602.56 Typical High $1,047.13 | Professional | TC · Technical part | $371.54 | $602.56 | $1,047.13 |
Health New England Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $1,071.52 | Facility | None | $363.08 | $691.83 | $1,071.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $478.63 | Professional | None (both parts) | $117.49 | $125.89 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $1,513.56 | Facility | None | $537.03 | $1,122.02 | $1,513.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,380.38 Typical High $2,454.71 | Professional | None (both parts) | $302.00 | $1,380.38 | $2,454.71 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $354.81 | Professional | 26 · Professional part | $64.57 | $218.78 | $354.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,258.93 Typical High $2,089.30 | Professional | TC · Technical part | $309.03 | $1,258.93 | $2,089.30 |
Tufts Setting Professional Modifier None (both parts) Typical Low $302.00 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $302.00 | $676.08 | $812.83 |
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 $223.87 Median $537.03 Typical High $1,479.11 | Professional | None (both parts) | $223.87 | $537.03 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $218.78 | Professional | 26 · Professional part | $60.26 | $85.11 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $512.86 Typical High $1,258.93 | Professional | TC · Technical part | $213.80 | $512.86 | $1,258.93 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $630.96 | Facility | None | $302.00 | $416.87 | $630.96 |
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 $263.03 Median $338.84 Typical High $602.56 | Facility | TC · Technical part | $263.03 | $338.84 | $602.56 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $199.53 | $199.53 | $239.88 |
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 |
3 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 $181.97 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $181.97 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $74.13 | $79.43 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $199.53 Median $229.09 Typical High $302.00 | Facility | 52 · Reduced service | $199.53 | $229.09 | $302.00 |
Where Massachusetts sits
The same service costs 3.0 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
$501
AK $794NM $269
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.