How much rates vary
Facilitymedian $162 · 10th to 90th $22 to $525Professionalmedian $200 · 10th to 90th $42 to $1,175
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 $162.18 Median $398.11 Typical High $489.78 | Facility | None | $162.18 | $398.11 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | 26 · Professional part | $26.92 | $26.92 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $134.90 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $616.60 | Facility | None | $436.52 | $537.03 | $616.60 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $141.25 Median $537.03 Typical High $1,174.90 | Professional | None (both parts) | $141.25 | $537.03 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $104.71 Typical High $616.60 | Professional | 26 · Professional part | $29.51 | $104.71 | $616.60 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $457.09 Typical High $1,000.00 | Professional | TC · Technical part | $125.89 | $457.09 | $1,000.00 |
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 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $30.90 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $512.86 Typical High $933.25 | Facility | None | $229.09 | $512.86 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $575.44 | Professional | None (both parts) | $194.98 | $208.93 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $33.88 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $489.78 | Professional | TC · Technical part | $165.96 | $173.78 | $489.78 |
Fallon Health Setting Facility Modifier None Typical Low $20.42 Median $104.71 Typical High $229.09 | Facility | None | $20.42 | $104.71 | $229.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $104.71 Typical High $234.42 | Professional | None (both parts) | $20.42 | $104.71 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $158.49 | $275.42 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $46.77 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $229.09 | $389.05 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $616.60 | Facility | None | $436.52 | $537.03 | $616.60 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $141.25 Median $537.03 Typical High $1,174.90 | Professional | None (both parts) | $141.25 | $537.03 | $1,174.90 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $104.71 Typical High $616.60 | Professional | 26 · Professional part | $29.51 | $104.71 | $616.60 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $457.09 Typical High $1,000.00 | Professional | TC · Technical part | $125.89 | $457.09 | $1,000.00 |
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 $89.13 Median $229.09 Typical High $562.34 | Professional | None (both parts) | $89.13 | $229.09 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $104.71 | Professional | 26 · Professional part | $29.51 | $41.69 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $186.21 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $186.21 | $457.09 |
Well Sense Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $288.40 | Facility | None | $141.25 | $194.98 | $288.40 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $47.86 | Facility | 26 · Professional part | $20.89 | $26.92 | $47.86 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $281.84 | Facility | TC · Technical part | $120.23 | $154.88 | $281.84 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $19.95 | $22.39 | $26.92 |
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 $81.28 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $32.36 | $39.81 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $21.38 Typical High $34.67 | Professional | 52 · Reduced service | $15.49 | $21.38 | $34.67 |
Where Massachusetts sits
The same service costs 2.9 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· 21st of 51
$195
AK $347NM $120
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.