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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $30.90 Median $104.71 Typical High $245.47 | Professional | None | $30.90 | $104.71 | $245.47 |
Fallon Health Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $83.18 | Facility | None | $23.99 | $28.84 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $35.48 | Professional | None | $25.12 | $29.51 | $35.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $21.88 Median $47.86 Typical High $104.71 | Professional | None | $21.88 | $47.86 | $104.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $30.90 Median $104.71 Typical High $245.47 | Professional | None | $30.90 | $104.71 | $245.47 |
United Setting Professional Modifier None Typical Low $26.92 Median $91.20 Typical High $107.15 | Professional | None | $26.92 | $91.20 | $107.15 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $2,951.21 Typical High $4,897.79 | Facility | None | $18.62 | $2,951.21 | $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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Where Massachusetts sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 19th of 51
$75.86
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.