How much rates vary
Facilitymedian $138 · 10th to 90th $60 to $2,042Professionalmedian $148 · 10th to 90th $91 to $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 $95.50 Median $128.82 Typical High $302.00 | Facility | None | $95.50 | $128.82 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $95.50 | $95.50 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $2,238.72 | Facility | None | $223.87 | $288.40 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $114.82 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $114.82 | $407.38 | $691.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $125.89 | $602.56 | $602.56 |
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 $263.03 Median $1,071.52 Typical High $2,511.89 | Facility | None | $263.03 | $1,071.52 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $316.23 | Professional | None (both parts) | $128.82 | $128.82 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $151.36 | $309.03 |
Fallon Health Setting Facility Modifier None Typical Low $54.95 Median $100.00 Typical High $141.25 | Facility | None | $54.95 | $100.00 | $141.25 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $53.70 | $97.72 | $141.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $104.71 | $169.82 | $288.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $2,238.72 | Facility | None | $223.87 | $288.40 | $2,238.72 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $114.82 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $114.82 | $407.38 | $691.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $125.89 | $602.56 | $602.56 |
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 $109.65 Median $151.36 Typical High $416.87 | Professional | None (both parts) | $109.65 | $151.36 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $165.96 | Facility | None | $81.28 | $112.20 | $165.96 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $77.62 | $77.62 | $93.33 |
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 $46.77 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $19.05 | $24.55 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$148
AK $282FL $89.13
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.