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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $63.10 Median $602.56 Typical High $602.56 | Professional | None | $63.10 | $602.56 | $602.56 |
Fallon Health Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $114.82 | Facility | None | $27.54 | $36.31 | $114.82 |
Fallon Health Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $114.82 | Professional | None | $69.18 | $85.11 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $35.48 Median $67.61 Typical High $158.49 | Professional | None | $35.48 | $67.61 | $158.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $63.10 Median $602.56 Typical High $602.56 | Professional | None | $63.10 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $245.47 | Professional | None | $60.26 | $81.28 | $245.47 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $3,090.30 Typical High $4,897.79 | Facility | None | $46.77 | $3,090.30 | $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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Massachusetts sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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· 26th of 51
$110
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.