How much rates vary
Facilitymedian $65 · 10th to 90th $15 to $275Professionalmedian $110 · 10th to 90th $28 to $813
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 $131.83 Median $131.83 Typical High $354.81 | Facility | None | $131.83 | $131.83 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $85.11 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $114.82 | $147.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $331.13 | Facility | None | $190.55 | $245.47 | $331.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $70.79 Median $223.87 Typical High $812.83 | Professional | None (both parts) | $70.79 | $223.87 | $812.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $70.79 Typical High $436.52 | Professional | 26 · Professional part | $19.50 | $70.79 | $436.52 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $194.98 Typical High $588.84 | Professional | TC · Technical part | $58.88 | $194.98 | $588.84 |
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 None (both parts) Typical Low $81.28 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $81.28 | $81.28 | $151.36 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $20.42 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $331.13 Typical High $933.25 | Facility | None | $85.11 | $331.13 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $223.87 | Professional | None (both parts) | $89.13 | $89.13 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $22.91 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $66.07 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $13.49 Median $46.77 Typical High $100.00 | Facility | None | $13.49 | $46.77 | $100.00 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $45.71 Typical High $104.71 | Professional | None (both parts) | $13.49 | $45.71 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $89.13 | $162.18 | $223.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $30.90 | $52.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $81.28 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Facility | None | $1,148.15 | $1,148.15 | $1,174.90 |
Health New England Setting Professional Modifier None (both parts) Typical Low $33.11 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $33.11 | $114.82 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $331.13 | Facility | None | $190.55 | $245.47 | $331.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $70.79 Median $223.87 Typical High $812.83 | Professional | None (both parts) | $70.79 | $223.87 | $812.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $70.79 Typical High $436.52 | Professional | 26 · Professional part | $19.50 | $70.79 | $436.52 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $194.98 Typical High $588.84 | Professional | TC · Technical part | $58.88 | $194.98 | $588.84 |
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 $70.79 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $70.79 | $123.03 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $70.79 | Professional | 26 · Professional part | $19.95 | $27.54 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $57.54 | $95.50 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $107.15 | Facility | None | $52.48 | $72.44 | $107.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $31.62 | Facility | 26 · Professional part | $13.49 | $17.78 | $31.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $89.13 | Facility | TC · Technical part | $38.90 | $50.12 | $89.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $93.33 | $93.33 | $112.20 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $17.38 | Professional | 26 · Professional part | $13.18 | $14.45 | $17.38 |
4 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 $57.54 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $26.92 | $29.51 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $107.15 Median $123.03 Typical High $162.18 | Facility | 52 · Reduced service | $107.15 | $123.03 | $162.18 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $16.22 Median $26.92 Typical High $35.48 | Professional | 78 · Unplanned return to OR | $16.22 | $26.92 | $35.48 |
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· 20th of 51
$102
AK $162TX $51.29
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.