How much rates vary
Facilitymedian $676 · 10th to 90th $186 to $1,950Professionalmedian $933 · 10th to 90th $324 to $3,981
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 $588.84 Median $588.84 Typical High $1,230.27 | Facility | None | $588.84 | $588.84 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $588.84 Typical High $831.76 | Professional | None (both parts) | $575.44 | $588.84 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $263.03 | Professional | 26 · Professional part | $213.80 | $213.80 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $309.03 | $371.54 | $512.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,238.72 | $3,090.30 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $524.81 Median $2,290.87 Typical High $3,981.07 | Professional | None (both parts) | $524.81 | $2,290.87 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $851.14 Typical High $1,412.54 | Professional | 26 · Professional part | $251.19 | $851.14 | $1,412.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,819.70 Typical High $2,818.38 | Professional | TC · Technical part | $380.19 | $1,819.70 | $2,818.38 |
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 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $1,000.00 Typical High $2,511.89 | Facility | None | $239.88 | $1,000.00 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $954.99 Typical High $1,949.84 | Professional | None (both parts) | $741.31 | $954.99 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $645.65 | Professional | 26 · Professional part | $275.42 | $275.42 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $676.08 Typical High $1,380.38 | Professional | TC · Technical part | $467.74 | $676.08 | $1,380.38 |
Fallon Health Setting Facility Modifier None Typical Low $162.18 Median $512.86 Typical High $1,096.48 | Facility | None | $162.18 | $512.86 | $1,096.48 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $489.78 Typical High $1,122.02 | Professional | None (both parts) | $165.96 | $489.78 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,148.15 Typical High $2,187.76 | Professional | None (both parts) | $776.25 | $1,148.15 | $2,187.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $380.19 Typical High $645.65 | Professional | 26 · Professional part | $269.15 | $380.19 | $645.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Professional | TC · Technical part | $512.86 | $794.33 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,238.72 | $3,090.30 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $524.81 Median $2,290.87 Typical High $3,981.07 | Professional | None (both parts) | $524.81 | $2,290.87 | $3,981.07 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $851.14 Typical High $1,412.54 | Professional | 26 · Professional part | $251.19 | $851.14 | $1,412.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,819.70 Typical High $2,818.38 | Professional | TC · Technical part | $380.19 | $1,819.70 | $2,818.38 |
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 $371.54 Median $851.14 Typical High $2,290.87 | Professional | None (both parts) | $371.54 | $851.14 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $331.13 Typical High $851.14 | Professional | 26 · Professional part | $234.42 | $331.13 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $602.56 Typical High $1,479.11 | Professional | TC · Technical part | $138.04 | $602.56 | $1,479.11 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $1,071.52 | Facility | None | $524.81 | $724.44 | $1,071.52 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $380.19 | Facility | 26 · Professional part | $165.96 | $213.80 | $380.19 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $467.74 Typical High $831.76 | Facility | TC · Technical part | $363.08 | $467.74 | $831.76 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $316.23 | $316.23 | $380.19 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $158.49 | $173.78 | $204.17 |
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 $288.40 Median $295.12 Typical High $346.74 | Professional | 52 · Reduced service | $288.40 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $138.04 | Professional | 53 · Discontinued | $114.82 | $117.49 | $138.04 |
Where Massachusetts sits
The same service costs 3.2 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· 15th of 51
$912
AK $1,445KY $447
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.