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 $2,691.53 Median $3,715.35 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,715.35 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $3,715.35 | Facility | None | $295.12 | $851.14 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,949.84 Typical High $3,235.94 | Professional | None | $588.84 | $1,949.84 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $20,892.96 | Facility | None | $676.08 | $954.99 | $20,892.96 |
Fallon Health Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,288.25 | Facility | None | $524.81 | $616.60 | $1,288.25 |
Fallon Health Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $758.58 | Professional | None | $537.03 | $630.96 | $758.58 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $1,412.54 | Professional | None | $512.86 | $954.99 | $1,412.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $3,715.35 | Facility | None | $295.12 | $851.14 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,949.84 Typical High $3,235.94 | Professional | None | $588.84 | $1,949.84 | $3,235.94 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,949.84 | Professional | None | $537.03 | $741.31 | $1,949.84 |
Well Sense Setting Facility Modifier None Typical Low $338.84 Median $2,511.89 Typical High $4,265.80 | Facility | None | $338.84 | $2,511.89 | $4,265.80 |
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 |
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 $275.42 Median $275.42 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $275.42 | $288.40 |
Where Massachusetts sits
The same service costs 7.2 times more in Texas 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· 18th of 51
$741
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.