How much rates vary
Facilitymedian $26 · 10th to 90th $11 to $79Professionalmedian $23 · 10th to 90th $13 to $123
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 $13.49 Median $13.49 Typical High $60.26 | Facility | None | $13.49 | $13.49 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | None (both parts) | $13.49 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $6.31 | Professional | 26 · Professional part | $5.37 | $5.37 | $6.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | TC · Technical part | $8.13 | $8.13 | $8.32 |
AllWays Health Partners Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $95.50 | Facility | None | $33.88 | $79.43 | $95.50 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $21.88 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $21.88 | $57.54 | $123.03 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.91 Typical High $123.03 | Professional | 26 · Professional part | $8.51 | $22.91 | $123.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $12.30 | $37.15 | $66.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $77.62 | Facility | None | $50.12 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | None (both parts) | $17.78 | $17.78 | $22.39 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $10.23 | Professional | 26 · Professional part | $7.41 | $7.41 | $10.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $12.30 | Professional | TC · Technical part | $10.23 | $10.23 | $12.30 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $31.62 | Facility | None | $10.72 | $16.60 | $31.62 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $16.98 Typical High $31.62 | Professional | None (both parts) | $10.72 | $16.98 | $31.62 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $13.18 Median $22.91 Typical High $50.12 | Professional | None (both parts) | $13.18 | $22.91 | $50.12 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $30.90 | Professional | 26 · Professional part | $9.55 | $9.77 | $30.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.18 Typical High $41.69 | Professional | TC · Technical part | $13.18 | $13.18 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $95.50 | Facility | None | $33.88 | $79.43 | $95.50 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $21.88 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $21.88 | $57.54 | $123.03 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.91 Typical High $123.03 | Professional | 26 · Professional part | $8.51 | $22.91 | $123.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $12.30 | $37.15 | $66.07 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $72.44 | Professional | None (both parts) | $21.38 | $30.90 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $8.91 | $13.80 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $19.50 Typical High $41.69 | Professional | TC · Technical part | $11.75 | $19.50 | $41.69 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $20.89 Typical High $31.62 | Facility | None | $15.85 | $20.89 | $31.62 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $13.80 | Facility | 26 · Professional part | $6.76 | $8.71 | $13.80 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $12.02 Typical High $21.38 | Facility | TC · Technical part | $9.12 | $12.02 | $21.38 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | None (both parts) | $19.05 | $19.05 | $22.91 |
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 $6.76 Median $6.76 Typical High $7.59 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.02 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.02 |
Where Massachusetts sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 25th of 51
$22.91
WI $39.81NC $17.38
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.