How much rates vary
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | None | $933.25 | $1,122.02 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $218.78 | Facility | None | $151.36 | $151.36 | $218.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $575.44 Median $2,187.76 Typical High $3,630.78 | Professional | None | $575.44 | $2,187.76 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $186.21 | Professional | None | $138.04 | $165.96 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $275.42 Typical High $5,888.44 | Facility | None | $83.18 | $275.42 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | None | $234.42 | $234.42 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $1,412.54 | Professional | None | $199.53 | $446.68 | $1,412.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $218.78 | Facility | None | $151.36 | $151.36 | $218.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $575.44 Median $2,187.76 Typical High $3,630.78 | Professional | None | $575.44 | $2,187.76 | $3,630.78 |
United Setting Professional Modifier None Typical Low $389.05 Median $1,174.90 Typical High $1,513.56 | Professional | None | $389.05 | $1,174.90 | $1,513.56 |
Well Sense Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,630.78 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $467.74 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $467.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $186.21 | $229.09 | $229.09 |
Where Massachusetts sits
The same service costs 14.8 times more in North Carolina than in New York. 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· 8th of 51
$1,122
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.