How much rates vary
Facilitymedian $100 · 10th to 90th $59 to $372Professionalmedian $182 · 10th to 90th $59 to $933
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 $181.97 Median $181.97 Typical High $5,011.87 | Facility | None | $181.97 | $181.97 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $63.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $117.49 | $117.49 | $134.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $371.54 | Facility | None | $186.21 | $186.21 | $371.54 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $173.78 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $173.78 | $933.25 | $933.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $77.62 | $398.11 | $398.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $114.82 | $630.96 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Facility | None | $338.84 | $338.84 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None (both parts) | $120.23 | $120.23 | $257.04 |
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 Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $81.28 | $81.28 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $35.48 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $46.77 | $67.61 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $162.18 | Facility | None | $56.23 | $77.62 | $162.18 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $57.54 | $79.43 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $51.29 Median $117.49 Typical High $316.23 | Professional | None (both parts) | $51.29 | $117.49 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $91.20 | $134.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $112.20 | $204.17 |
Health New England Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $933.25 | Facility | None | $208.93 | $245.47 | $933.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $134.90 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $134.90 | $323.59 | $354.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $371.54 | Facility | None | $186.21 | $186.21 | $371.54 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $173.78 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $173.78 | $933.25 | $933.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $77.62 | $398.11 | $398.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $114.82 | $630.96 | $630.96 |
Tufts Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $831.76 | Facility | None | $263.03 | $380.19 | $831.76 |
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 $141.25 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $141.25 | $275.42 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $223.87 | Professional | 26 · Professional part | $70.79 | $109.65 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $177.83 Typical High $436.52 | Professional | TC · Technical part | $74.13 | $177.83 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $144.54 | Facility | None | $81.28 | $95.50 | $144.54 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $77.62 Typical High $147.91 | Facility | 26 · Professional part | $45.71 | $77.62 | $147.91 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $144.54 Typical High $275.42 | Facility | TC · Technical part | $50.12 | $144.54 | $275.42 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $165.96 Typical High $186.21 | Facility | 52 · Reduced service | $151.36 | $165.96 | $186.21 |
Where Massachusetts sits
The same service costs 3.5 times more in Nebraska 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· 28th of 51
$170
NE $331NM $93.33
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.