How much rates vary
Facilitymedian $76 · 10th to 90th $33 to $2,818Professionalmedian $138 · 10th to 90th $33 to $692
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 $371.54 Median $2,691.53 Typical High $3,715.35 | Facility | None | $371.54 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $79.43 Typical High $165.96 | Professional | None | $24.55 | $79.43 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $630.96 Typical High $2,818.38 | Facility | None | $77.62 | $630.96 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $43.65 Median $177.83 Typical High $870.96 | Professional | None | $43.65 | $177.83 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $77.62 | Facility | None | $33.11 | $33.11 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $33.11 Median $138.04 Typical High $138.04 | Professional | None | $33.11 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $281.84 | Professional | None | $54.95 | $123.03 | $281.84 |
Fallon Health Setting Facility Modifier None Typical Low $34.67 Median $42.66 Typical High $3,311.31 | Facility | None | $34.67 | $42.66 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $239.88 | Professional | None | $144.54 | $173.78 | $239.88 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $38.90 Median $141.25 Typical High $354.81 | Professional | None | $38.90 | $141.25 | $354.81 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $524.81 Typical High $2,137.96 | Facility | None | $173.78 | $524.81 | $2,137.96 |
Health New England Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $123.03 | Professional | None | $57.54 | $57.54 | $123.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $630.96 Typical High $2,818.38 | Facility | None | $77.62 | $630.96 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $43.65 Median $177.83 Typical High $870.96 | Professional | None | $43.65 | $177.83 | $870.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,698.24 Typical High $2,818.38 | Facility | None | $501.19 | $1,698.24 | $2,818.38 |
United Setting Professional Modifier None Typical Low $47.86 Median $151.36 Typical High $389.05 | Professional | None | $47.86 | $151.36 | $389.05 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $60.26 Typical High $154.88 | Facility | None | $30.20 | $60.26 | $154.88 |
Well Sense Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $107.15 | Professional | None | $42.66 | $51.29 | $107.15 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $37.15 | Professional | 52 · Reduced service | $16.60 | $16.60 | $37.15 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $26.30 Median $33.11 Typical High $43.65 | Professional | 78 · Unplanned return to OR | $26.30 | $33.11 | $43.65 |
Where Massachusetts sits
The same service costs 3.4 times more in Wisconsin than in Nebraska. 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· 13th of 51
$138
WI $224NE $66.07
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.