How much rates vary
Facilitymedian $195 · 10th to 90th $30 to $479Professionalmedian $81 · 10th to 90th $32 to $1,905
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 $562.34 Typical High $851.14 | Facility | None | $32.36 | $562.34 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $812.83 | Professional | None | $32.36 | $32.36 | $812.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $467.74 | Facility | None | $117.49 | $190.55 | $467.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $1,905.46 | Professional | None | $33.11 | $89.13 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $501.19 Typical High $812.83 | Professional | None | $208.93 | $501.19 | $812.83 |
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 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $467.74 | Facility | None | $117.49 | $190.55 | $467.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $1,905.46 | Professional | None | $33.11 | $89.13 | $1,905.46 |
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 $173.78 Median $239.88 Typical High $371.54 | Facility | None | $173.78 | $239.88 | $371.54 |
Well Sense Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None | $158.49 | $158.49 | $190.55 |
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 $457.09 Median $457.09 Typical High $831.76 | Professional | 53 · Discontinued | $457.09 | $457.09 | $831.76 |