How much rates vary
Facilitymedian $1,905 · 10th to 90th $525 to $3,981Professionalmedian $3,467 · 10th to 90th $2,042 to $16,596
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 $2,290.87 Median $2,290.87 Typical High $5,248.07 | Facility | None | $2,290.87 | $2,290.87 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $5,248.07 | Professional | None | $2,238.72 | $2,290.87 | $5,248.07 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $6,025.60 | Facility | None | $346.74 | $1,047.13 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $6,760.83 Typical High $16,595.87 | Professional | None | $2,290.87 | $6,760.83 | $16,595.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,511.89 Median $4,365.16 Typical High $5,888.44 | Professional | None | $2,511.89 | $4,365.16 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,380.38 | Facility | None | $676.08 | $1,000.00 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $6,309.57 | Professional | None | $2,884.03 | $2,884.03 | $6,309.57 |
Fallon Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $3,715.35 | Facility | None | $1,412.54 | $2,754.23 | $3,715.35 |
Fallon Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,412.54 | $2,570.40 | $3,715.35 |
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 $2,398.83 Median $4,897.79 Typical High $7,079.46 | Professional | None | $2,398.83 | $4,897.79 | $7,079.46 |
Health New England Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $6,025.60 | Facility | None | $346.74 | $1,047.13 | $6,025.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,290.87 Median $6,760.83 Typical High $16,595.87 | Professional | None | $2,290.87 | $6,760.83 | $16,595.87 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,148.15 Typical High $3,715.35 | Facility | None | $316.23 | $1,148.15 | $3,715.35 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $7,079.46 | Professional | None | $2,187.76 | $3,467.37 | $7,079.46 |
Well Sense Setting Facility Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $4,677.35 | Facility | None | $2,290.87 | $3,162.28 | $4,677.35 |
3 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 $1,148.15 Median $1,148.15 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $1,047.13 | Professional | 53 · Discontinued | $457.09 | $457.09 | $1,047.13 |
Well Sense Setting Professional Modifier HO · Master's level + SA · Nurse practitioner + SB · Nurse midwife Typical Low $1,819.70 Median $1,819.70 Typical High $2,570.40 | Professional | HO · Master's level + SA · Nurse practitioner + SB · Nurse midwife | $1,819.70 | $1,819.70 | $2,570.40 |
Where Massachusetts sits
The same service costs 4.3 times more in Alaska 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
AK $12,394AR $2,907
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.