How much rates vary
Facilitymedian $186 · 10th to 90th $56 to $2,455Professionalmedian $166 · 10th to 90th $85 to $479
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 $389.05 Median $2,187.76 Typical High $3,630.78 | Facility | None | $389.05 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $199.53 | Professional | None | $64.57 | $104.71 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $177.83 Median $724.44 Typical High $2,089.30 | Facility | None | $177.83 | $724.44 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $870.96 | Professional | None | $102.33 | $199.53 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $181.97 | Facility | None | $79.43 | $95.50 | $181.97 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $407.38 | Professional | None | $104.71 | $208.93 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $575.44 | Facility | None | $87.10 | $123.03 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $295.12 | Professional | None | $91.20 | $138.04 | $295.12 |
Fallon Health Setting Facility Modifier None Typical Low $45.71 Median $87.10 Typical High $467.74 | Facility | None | $45.71 | $87.10 | $467.74 |
Fallon Health Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $194.98 | Professional | None | $75.86 | $134.90 | $194.98 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $89.13 Median $186.21 Typical High $338.84 | Professional | None | $89.13 | $186.21 | $338.84 |
Health New England Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,096.48 | $1,122.02 |
Health New England Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $177.83 Median $724.44 Typical High $2,089.30 | Facility | None | $177.83 | $724.44 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $870.96 | Professional | None | $102.33 | $199.53 | $870.96 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,168.69 | Facility | None | $407.38 | $870.96 | $4,168.69 |
United Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $346.74 | Professional | None | $102.33 | $169.82 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $56.23 Median $125.89 Typical High $204.17 | Facility | None | $56.23 | $125.89 | $204.17 |
Well Sense Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $181.97 | Professional | None | $89.13 | $107.15 | $181.97 |
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 $32.36 Median $52.48 Typical High $114.82 | Professional | 52 · Reduced service | $32.36 | $52.48 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.89 Typical High $45.71 | Professional | 53 · Discontinued | $12.88 | $20.89 | $45.71 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 12th of 51
$166
AK $263KY $93.33
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.