How much rates vary
Facilitymedian $646 · 10th to 90th $30 to $2,138Professionalmedian $85 · 10th to 90th $32 to $2,884
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 $32.36 Median $831.76 Typical High $1,288.25 | Facility | None | $32.36 | $831.76 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $1,230.27 | Professional | None | $32.36 | $32.36 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $2,137.96 | Facility | None | $549.54 | $891.25 | $2,137.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $2,884.03 | Professional | None | $33.11 | $89.13 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $794.33 Typical High $1,288.25 | Professional | None | $331.13 | $794.33 | $1,288.25 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $5,888.44 | Facility | None | $21.38 | $30.20 | $5,888.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $112.20 | Professional | None | $44.67 | $64.57 | $112.20 |
Health New England Setting Professional Modifier None Typical Low $2,344.23 Median $9,772.37 Typical High $9,772.37 | Professional | None | $2,344.23 | $9,772.37 | $9,772.37 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $2,137.96 | Facility | None | $549.54 | $891.25 | $2,137.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $2,884.03 | Professional | None | $33.11 | $89.13 | $2,884.03 |
United Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $112.20 | Professional | None | $46.77 | $64.57 | $112.20 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $575.44 | Facility | None | $263.03 | $363.08 | $575.44 |
Well Sense Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None | $239.88 | $239.88 | $288.40 |
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 Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $1,230.27 | Professional | 53 · Discontinued | $691.83 | $691.83 | $1,230.27 |