How much rates vary
Facilitymedian $63 · 10th to 90th $27 to $933Professionalmedian $138 · 10th to 90th $48 to $1,549
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $100.00 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $38.02 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $61.66 | $64.57 | $64.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $1,071.52 | Facility | None | $97.72 | $199.53 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $79.43 Median $363.08 Typical High $1,548.82 | Professional | None (both parts) | $79.43 | $363.08 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $42.66 | $147.91 | $257.04 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $467.74 Typical High $1,513.56 | Professional | TC · Technical part | $70.79 | $467.74 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $812.83 Typical High $1,288.25 | Facility | None | $93.33 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $295.12 | Professional | None (both parts) | $128.82 | $128.82 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $47.86 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $81.28 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $53.70 Typical High $138.04 | Facility | None | $25.70 | $53.70 | $138.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $25.12 | $50.12 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $102.33 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $102.33 | $218.78 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $64.57 | $112.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $72.44 | $134.90 | $302.00 |
Health New England Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $1,071.52 | Facility | None | $97.72 | $199.53 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $79.43 Median $363.08 Typical High $1,548.82 | Professional | None (both parts) | $79.43 | $363.08 | $1,548.82 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $42.66 | $147.91 | $257.04 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $467.74 Typical High $1,513.56 | Professional | TC · Technical part | $70.79 | $467.74 | $1,513.56 |
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 $77.62 Median $302.00 Typical High $851.14 | Professional | None (both parts) | $77.62 | $302.00 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $147.91 | Professional | 26 · Professional part | $40.74 | $58.88 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $251.19 Typical High $691.83 | Professional | TC · Technical part | $37.15 | $251.19 | $691.83 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $64.57 | Facility | 26 · Professional part | $28.84 | $37.15 | $64.57 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $100.00 | $100.00 | $120.23 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $30.20 | $36.31 |
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 $50.12 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.89 |
Where Massachusetts sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 17th of 51
$129
HI $309KY $57.54
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.