How much rates vary
Facilitymedian $170 · 10th to 90th $22 to $316Professionalmedian $204 · 10th to 90th $41 to $955
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 $158.49 Median $158.49 Typical High $398.11 | Facility | None | $158.49 | $158.49 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $154.88 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $128.82 | $131.83 | $158.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $630.96 | Facility | None | $295.12 | $467.74 | $630.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $131.83 | $537.03 | $954.99 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $100.00 Typical High $616.60 | Professional | 26 · Professional part | $30.20 | $100.00 | $616.60 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $120.23 | $478.63 | $794.33 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Facility | None | $213.80 | $245.47 | $323.59 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $30.20 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $933.25 | Facility | None | $162.18 | $331.13 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $186.21 | $239.88 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $33.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $162.18 | $208.93 | $426.58 |
Fallon Health Setting Facility Modifier None Typical Low $19.95 Median $120.23 Typical High $257.04 | Facility | None | $19.95 | $120.23 | $257.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $19.95 | $120.23 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $173.78 | $281.84 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $45.71 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $147.91 | $239.88 | $426.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $630.96 | Facility | None | $295.12 | $467.74 | $630.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $131.83 | $537.03 | $954.99 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $100.00 Typical High $616.60 | Professional | 26 · Professional part | $30.20 | $100.00 | $616.60 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $120.23 | $478.63 | $794.33 |
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 $85.11 Median $218.78 Typical High $549.54 | Professional | None (both parts) | $85.11 | $218.78 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $29.51 | $42.66 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $177.83 Typical High $478.63 | Professional | TC · Technical part | $72.44 | $177.83 | $478.63 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $269.15 | Facility | None | $131.83 | $181.97 | $269.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $45.71 | Facility | 26 · Professional part | $19.95 | $25.70 | $45.71 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $257.04 | Facility | TC · Technical part | $112.20 | $144.54 | $257.04 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $102.33 | $102.33 | $123.03 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $20.42 | $22.91 | $27.54 |
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 $77.62 Median $79.43 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $31.62 | $36.31 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $19.95 Typical High $34.67 | Professional | 52 · Reduced service | $15.14 | $19.95 | $34.67 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska 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· 16th of 51
$204
AK $324KY $115
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.