How much rates vary
Facilitymedian $112 · 10th to 90th $51 to $501Professionalmedian $170 · 10th to 90th $68 to $575
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 $147.91 Median $288.40 Typical High $691.83 | Facility | None | $147.91 | $288.40 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $147.91 | $147.91 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $77.62 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $70.79 | $107.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $602.56 | Facility | None | $389.05 | $501.19 | $602.56 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $138.04 Median $398.11 Typical High $870.96 | Professional | None (both parts) | $138.04 | $398.11 | $870.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $213.80 Typical High $501.19 | Professional | 26 · Professional part | $75.86 | $213.80 | $501.19 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $177.83 Typical High $380.19 | Professional | TC · Technical part | $64.57 | $177.83 | $380.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $602.56 | Facility | None | $213.80 | $446.68 | $602.56 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $165.96 | $165.96 | $309.03 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $91.20 | $169.82 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $75.86 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $295.12 Typical High $741.31 | Facility | None | $97.72 | $295.12 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $173.78 | $173.78 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $97.72 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $75.86 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $45.71 Median $95.50 Typical High $199.53 | Facility | None | $45.71 | $95.50 | $199.53 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $46.77 | $100.00 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $169.82 | $239.88 | $426.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $134.90 | $229.09 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $109.65 | $177.83 |
Health New England Setting Facility Modifier None Typical Low $154.88 Median $549.54 Typical High $1,258.93 | Facility | None | $154.88 | $549.54 | $1,258.93 |
Health New England Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $134.90 | $165.96 | $380.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $602.56 | Facility | None | $389.05 | $501.19 | $602.56 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $138.04 Median $398.11 Typical High $870.96 | Professional | None (both parts) | $138.04 | $398.11 | $870.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $213.80 Typical High $501.19 | Professional | 26 · Professional part | $75.86 | $213.80 | $501.19 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $177.83 Typical High $380.19 | Professional | TC · Technical part | $64.57 | $177.83 | $380.19 |
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 $158.49 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $158.49 | $223.87 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $302.00 | Professional | 26 · Professional part | $85.11 | $123.03 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $102.33 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $213.80 | Facility | None | $102.33 | $141.25 | $213.80 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $134.90 | Facility | 26 · Professional part | $57.54 | $75.86 | $134.90 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $104.71 | Facility | TC · Technical part | $44.67 | $58.88 | $104.71 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $112.20 | $112.20 | $134.90 |
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 $72.44 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $29.51 | $29.51 |
Where Massachusetts sits
The same service costs 4.0 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
$170
AK $339TX $85.11
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.