How much rates vary
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 $912.01 Median $912.01 Typical High $2,754.23 | Facility | None | $912.01 | $912.01 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,570.40 | Professional | None | $912.01 | $912.01 | $2,570.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $3,548.13 | Facility | None | $346.74 | $851.14 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $7,585.78 | Professional | None | $1,174.90 | $3,090.30 | $7,585.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,148.15 | $2,290.87 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Facility | None | $676.08 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,288.25 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,995.26 | Facility | None | $645.65 | $1,258.93 | $1,995.26 |
Fallon Health Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,659.59 | Professional | None | $645.65 | $1,148.15 | $1,659.59 |
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 $1,288.25 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,288.25 | $2,238.72 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $3,548.13 | Facility | None | $346.74 | $851.14 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $7,585.78 | Professional | None | $1,174.90 | $3,090.30 | $7,585.78 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,071.52 Typical High $3,715.35 | Facility | None | $316.23 | $1,071.52 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $3,388.44 | Professional | None | $1,230.27 | $1,584.89 | $3,388.44 |
Well Sense Setting Facility Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,584.89 | $2,454.71 |
Well Sense Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,071.52 | $1,288.25 |
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 $457.09 Median $457.09 Typical High $1,348.96 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $549.54 | Professional | 53 · Discontinued | $181.97 | $181.97 | $549.54 |
Where Massachusetts sits
The same service costs 3.5 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.
Massachusetts· 20th of 51
$1,514
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.