How much rates vary
Facilitymedian $1,738 · 10th to 90th $257 to $4,677Professionalmedian $2,399 · 10th to 90th $501 to $11,749
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 $1,949.84 Median $1,949.84 Typical High $4,073.80 | Facility | None | $1,949.84 | $1,949.84 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,949.84 Typical High $2,454.71 | Professional | None (both parts) | $1,819.70 | $1,949.84 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | 26 · Professional part | $316.23 | $316.23 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,621.81 Typical High $2,089.30 | Professional | TC · Technical part | $1,479.11 | $1,621.81 | $2,089.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $5,888.44 Typical High $7,943.28 | Facility | None | $5,370.32 | $5,888.44 | $7,943.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $6,606.93 Typical High $11,748.98 | Professional | None (both parts) | $1,778.28 | $6,606.93 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $1,258.93 Typical High $2,041.74 | Professional | 26 · Professional part | $371.54 | $1,258.93 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $6,309.57 Typical High $9,549.93 | Professional | TC · Technical part | $1,479.11 | $6,309.57 | $9,549.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $5,888.44 | Facility | None | $3,801.89 | $4,466.84 | $5,888.44 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $707.95 | Professional | 26 · Professional part | $380.19 | $380.19 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,344.23 Typical High $5,623.41 | Professional | None (both parts) | $2,187.76 | $2,344.23 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $407.38 Typical High $954.99 | Professional | 26 · Professional part | $398.11 | $407.38 | $954.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,949.84 Typical High $4,677.35 | Professional | TC · Technical part | $1,737.80 | $1,949.84 | $4,677.35 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $1,380.38 Typical High $2,818.38 | Facility | None | $234.42 | $1,380.38 | $2,818.38 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,380.38 Typical High $3,090.30 | Professional | None (both parts) | $251.19 | $1,380.38 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,162.28 Typical High $5,623.41 | Professional | None (both parts) | $2,089.30 | $3,162.28 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $562.34 Typical High $977.24 | Professional | 26 · Professional part | $407.38 | $562.34 | $977.24 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,754.23 Typical High $4,677.35 | Professional | TC · Technical part | $1,862.09 | $2,754.23 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $5,370.32 Median $5,888.44 Typical High $7,943.28 | Facility | None | $5,370.32 | $5,888.44 | $7,943.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $6,606.93 Typical High $11,748.98 | Professional | None (both parts) | $1,778.28 | $6,606.93 | $11,748.98 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $1,258.93 Typical High $2,041.74 | Professional | 26 · Professional part | $371.54 | $1,258.93 | $2,041.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $6,309.57 Typical High $9,549.93 | Professional | TC · Technical part | $1,479.11 | $6,309.57 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,691.53 Typical High $7,585.78 | Professional | None (both parts) | $1,737.80 | $2,691.53 | $7,585.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $478.63 Typical High $1,258.93 | Professional | 26 · Professional part | $346.74 | $478.63 | $1,258.93 |
United Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,290.87 Typical High $6,309.57 | Professional | TC · Technical part | $1,412.54 | $2,290.87 | $6,309.57 |
Well Sense Setting Facility Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,412.54 | $1,949.84 | $2,884.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $239.88 Median $316.23 Typical High $562.34 | Facility | 26 · Professional part | $239.88 | $316.23 | $562.34 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $1,148.15 Median $1,513.56 Typical High $2,691.53 | Facility | TC · Technical part | $1,148.15 | $1,513.56 | $2,691.53 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,258.93 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $251.19 Typical High $302.00 | Professional | 26 · Professional part | $229.09 | $251.19 | $302.00 |
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 $870.96 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $870.96 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $354.81 | $389.05 | $389.05 |
Where Massachusetts sits
The same service costs 3.2 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· 18th of 51
$2,399
AK $4,467TX $1,413
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.