How much rates vary
Facilitymedian $1,000 · 10th to 90th $447 to $3,311Professionalmedian $1,288 · 10th to 90th $724 to $5,888
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 $724.44 Median $724.44 Typical High $2,570.40 | Facility | None | $724.44 | $724.44 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $1,949.84 | Professional | None | $724.44 | $741.31 | $1,949.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $5,888.44 | Professional | None | $1,000.00 | $2,344.23 | $5,888.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,951.21 | Professional | None | $891.25 | $1,479.11 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $1,380.38 | Facility | None | $50.12 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,000.00 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $2,691.53 | Facility | None | $501.19 | $977.24 | $2,691.53 |
Fallon Health Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $1,288.25 | Professional | None | $501.19 | $891.25 | $1,288.25 |
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 $1,000.00 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,737.80 | $2,570.40 |
Health New England Setting Professional Modifier None Typical Low $199.53 Median $323.59 Typical High $354.81 | Professional | None | $199.53 | $323.59 | $354.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $5,888.44 | Professional | None | $1,000.00 | $2,344.23 | $5,888.44 |
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 $1,023.29 Median $1,318.26 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,318.26 | $2,630.27 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,949.84 | Facility | None | $933.25 | $1,288.25 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,000.00 | $1,202.26 |
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 $363.08 Median $363.08 Typical High $1,288.25 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $512.86 | Professional | 53 · Discontinued | $144.54 | $144.54 | $512.86 |
Where Massachusetts sits
The same service costs 10.3 times more in Maine than in Arkansas. 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.