How much rates vary
Facilitymedian $288 · 10th to 90th $30 to $759Professionalmedian $85 · 10th to 90th $32 to $2,138
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 $630.96 Typical High $954.99 | Facility | None | $32.36 | $630.96 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $891.25 | Professional | None | $32.36 | $32.36 | $891.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $741.31 | Facility | None | $186.21 | $309.03 | $741.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $2,137.96 | Professional | None | $33.11 | $89.13 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $575.44 Typical High $933.25 | Professional | None | $239.88 | $575.44 | $933.25 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $741.31 | Facility | None | $186.21 | $309.03 | $741.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $2,137.96 | Professional | None | $33.11 | $89.13 | $2,137.96 |
Tufts Setting Professional Modifier None Typical Low $97.72 Median $204.17 Typical High $371.54 | Professional | None | $97.72 | $204.17 | $371.54 |
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 $194.98 Median $269.15 Typical High $416.87 | Facility | None | $194.98 | $269.15 | $416.87 |
Well Sense Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
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 $512.86 Median $512.86 Typical High $933.25 | Professional | 53 · Discontinued | $512.86 | $512.86 | $933.25 |