How much rates vary
Facilitymedian $550 · 10th to 90th $95 to $1,905Professionalmedian $708 · 10th to 90th $191 to $2,692
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | None (both parts) | $512.86 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $446.68 | Professional | TC · Technical part | $398.11 | $398.11 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,398.83 | Facility | None | $1,659.59 | $1,995.26 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,698.24 Typical High $3,548.13 | Professional | None (both parts) | $562.34 | $1,698.24 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $316.23 Typical High $741.31 | Professional | 26 · Professional part | $123.03 | $316.23 | $741.31 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,348.96 Typical High $2,754.23 | Professional | TC · Technical part | $446.68 | $1,348.96 | $2,754.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,659.59 | $2,187.76 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $131.83 | $131.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $758.58 Typical High $2,511.89 | Facility | None | $275.42 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $741.31 Typical High $1,698.24 | Professional | None (both parts) | $676.08 | $741.31 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $338.84 | Professional | 26 · Professional part | $147.91 | $147.91 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $602.56 Typical High $1,348.96 | Professional | TC · Technical part | $512.86 | $602.56 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $87.10 Median $398.11 Typical High $870.96 | Facility | None | $87.10 | $398.11 | $870.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $87.10 | $398.11 | $891.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,023.29 Typical High $1,778.28 | Professional | None (both parts) | $660.69 | $1,023.29 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $338.84 | Professional | 26 · Professional part | $141.25 | $199.53 | $338.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $794.33 Typical High $1,348.96 | Professional | TC · Technical part | $512.86 | $794.33 | $1,348.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,398.83 | Facility | None | $1,659.59 | $1,995.26 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,698.24 Typical High $3,548.13 | Professional | None (both parts) | $562.34 | $1,698.24 | $3,548.13 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $316.23 Typical High $741.31 | Professional | 26 · Professional part | $123.03 | $316.23 | $741.31 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,348.96 Typical High $2,754.23 | Professional | TC · Technical part | $446.68 | $1,348.96 | $2,754.23 |
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 $575.44 Median $851.14 Typical High $2,089.30 | Professional | None (both parts) | $575.44 | $851.14 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $177.83 Typical High $446.68 | Professional | 26 · Professional part | $125.89 | $177.83 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $676.08 Typical High $1,659.59 | Professional | TC · Technical part | $446.68 | $676.08 | $1,659.59 |
Well Sense Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $891.25 | Facility | None | $426.58 | $602.56 | $891.25 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $199.53 | Facility | 26 · Professional part | $87.10 | $112.20 | $199.53 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $446.68 Typical High $794.33 | Facility | TC · Technical part | $346.74 | $446.68 | $794.33 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $380.19 | $380.19 | $457.09 |
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 $257.04 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $102.33 | $102.33 | $104.71 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $107.15 Typical High $144.54 | Professional | 52 · Reduced service | $66.07 | $107.15 | $144.54 |
Where Massachusetts sits
The same service costs 3.1 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· 17th of 51
$708
AK $1,259TX $407
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.