How much rates vary
Facilitymedian $209 · 10th to 90th $81 to $891Professionalmedian $309 · 10th to 90th $129 to $1,047
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 $257.04 Median $257.04 Typical High $512.86 | Facility | None | $257.04 | $257.04 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $257.04 | $257.04 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $151.36 | $151.36 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $107.15 | $147.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $1,071.52 | Facility | None | $691.83 | $891.25 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $251.19 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $251.19 | $707.95 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $426.58 Typical High $977.24 | Professional | 26 · Professional part | $151.36 | $426.58 | $977.24 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $102.33 | $281.84 | $616.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,071.52 | Facility | None | $363.08 | $794.33 | $1,071.52 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $302.00 | $302.00 | $537.03 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $331.13 | Professional | 26 · Professional part | $177.83 | $177.83 | $331.13 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $120.23 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $524.81 Typical High $1,288.25 | Facility | None | $162.18 | $524.81 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $741.31 | Professional | None (both parts) | $316.23 | $316.23 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $446.68 | Professional | 26 · Professional part | $194.98 | $194.98 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $123.03 | $302.00 |
Fallon Health Setting Facility Modifier None Typical Low $74.13 Median $162.18 Typical High $354.81 | Facility | None | $74.13 | $162.18 | $354.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $165.96 Typical High $354.81 | Professional | None (both parts) | $77.62 | $165.96 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $309.03 | $446.68 | $776.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $190.55 | $269.15 | $457.09 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $173.78 | $288.40 |
Health New England Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $2,137.96 | Facility | None | $501.19 | $954.99 | $2,137.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $275.42 | $295.12 | $489.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $1,071.52 | Facility | None | $691.83 | $891.25 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $251.19 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $251.19 | $707.95 | $1,584.89 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $426.58 Typical High $977.24 | Professional | 26 · Professional part | $151.36 | $426.58 | $977.24 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $102.33 | $281.84 | $616.60 |
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 $288.40 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $288.40 | $416.87 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $239.88 Typical High $602.56 | Professional | 26 · Professional part | $169.82 | $239.88 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $169.82 Typical High $416.87 | Professional | TC · Technical part | $114.82 | $169.82 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $389.05 | Facility | None | $190.55 | $263.03 | $389.05 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $151.36 Typical High $269.15 | Facility | 26 · Professional part | $114.82 | $151.36 | $269.15 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $173.78 | Facility | TC · Technical part | $74.13 | $97.72 | $173.78 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $208.93 | $208.93 | $251.19 |
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 $128.82 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $51.29 | $53.70 |
Where Massachusetts sits
The same service costs 3.3 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· 19th of 51
$309
AK $589TX $178
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.