How much rates vary
Facilitymedian $417 · 10th to 90th $37 to $977Professionalmedian $490 · 10th to 90th $74 to $1,660
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $380.19 | Professional | None (both parts) | $338.84 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $43.65 | $43.65 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $331.13 | Professional | TC · Technical part | $295.12 | $309.03 | $331.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,548.82 | Facility | None | $954.99 | $1,148.15 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,148.15 Typical High $2,344.23 | Professional | None (both parts) | $380.19 | $1,148.15 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $120.23 Typical High $281.84 | Professional | 26 · Professional part | $47.86 | $120.23 | $281.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,023.29 Typical High $2,041.74 | Professional | TC · Technical part | $363.08 | $1,023.29 | $2,041.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Facility | None | $707.95 | $831.76 | $1,096.48 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $489.78 | $489.78 | $912.01 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $51.29 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,288.25 | Facility | None | $524.81 | $933.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $512.86 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $512.86 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $56.23 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $1,000.00 | Professional | TC · Technical part | $389.05 | $457.09 | $1,000.00 |
Fallon Health Setting Facility Modifier None Typical Low $33.11 Median $288.40 Typical High $602.56 | Facility | None | $33.11 | $288.40 | $602.56 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $288.40 Typical High $630.96 | Professional | None (both parts) | $33.11 | $288.40 | $630.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $426.58 | $691.83 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $75.86 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $602.56 Typical High $1,023.29 | Professional | TC · Technical part | $371.54 | $602.56 | $1,023.29 |
Health New England Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,548.82 | Facility | None | $954.99 | $1,148.15 | $1,548.82 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,148.15 Typical High $2,344.23 | Professional | None (both parts) | $380.19 | $1,148.15 | $2,344.23 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $120.23 Typical High $281.84 | Professional | 26 · Professional part | $47.86 | $120.23 | $281.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,023.29 Typical High $2,041.74 | Professional | TC · Technical part | $363.08 | $1,023.29 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $3,388.44 | Facility | None | $1,202.26 | $2,290.87 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $1,412.54 | Professional | None (both parts) | $380.19 | $575.44 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $173.78 | Professional | 26 · Professional part | $48.98 | $69.18 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $512.86 Typical High $1,230.27 | Professional | TC · Technical part | $331.13 | $512.86 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $288.40 Median $398.11 Typical High $588.84 | Facility | None | $288.40 | $398.11 | $588.84 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $77.62 | Facility | 26 · Professional part | $33.11 | $42.66 | $77.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $338.84 Typical High $588.84 | Facility | TC · Technical part | $257.04 | $338.84 | $588.84 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $239.88 | $239.88 | $288.40 |
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 $173.78 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $173.78 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $70.79 | $70.79 |
Where Massachusetts sits
The same service costs 3.0 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· 17th of 51
$490
AK $813NM $275
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.