How much rates vary
Facilitymedian $1,380 · 10th to 90th $550 to $4,677Professionalmedian $1,288 · 10th to 90th $724 to $5,754
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 $2,089.30 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,584.89 | Professional | None | $724.44 | $724.44 | $1,584.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $4,897.79 | Facility | None | $741.31 | $1,737.80 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $5,754.40 | Professional | None | $1,000.00 | $2,344.23 | $5,754.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $891.25 Median $1,778.28 Typical High $2,951.21 | Professional | None | $891.25 | $1,778.28 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,290.87 Typical High $3,311.31 | Facility | None | $446.68 | $2,290.87 | $3,311.31 |
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 $489.78 Median $954.99 Typical High $1,698.24 | Facility | None | $489.78 | $954.99 | $1,698.24 |
Fallon Health Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $1,288.25 | Professional | None | $489.78 | $891.25 | $1,288.25 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,000.00 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,819.70 | $2,754.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $4,897.79 | Facility | None | $741.31 | $1,737.80 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $5,754.40 | Professional | None | $1,000.00 | $2,344.23 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,288.25 | $2,630.27 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,949.84 | Facility | None | $933.25 | $1,318.26 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $1,202.26 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $489.78 | Professional | 53 · Discontinued | $144.54 | $144.54 | $489.78 |
Where Massachusetts sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.