How much rates vary
Facilitymedian $178 · 10th to 90th $79 to $3,311Professionalmedian $263 · 10th to 90th $89 to $692
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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $213.80 Typical High $316.23 | Professional | None | $97.72 | $213.80 | $316.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $1,479.11 Typical High $4,168.69 | Facility | None | $186.21 | $1,479.11 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $100.00 Median $346.74 Typical High $1,621.81 | Professional | None | $100.00 | $346.74 | $1,621.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $186.21 | Facility | None | $79.43 | $79.43 | $186.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $436.52 | Professional | None | $79.43 | $257.04 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $309.03 Typical High $575.44 | Professional | None | $114.82 | $309.03 | $575.44 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $3,311.31 | Facility | None | $81.28 | $100.00 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $426.58 | Professional | None | $269.15 | $323.59 | $426.58 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,318.26 | $2,511.89 | $7,244.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $89.13 Median $263.03 Typical High $602.56 | Professional | None | $89.13 | $263.03 | $602.56 |
Health New England Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $3,890.45 | Facility | None | $707.95 | $1,412.54 | $3,890.45 |
Health New England Setting Professional Modifier None Typical Low $134.90 Median $630.96 Typical High $676.08 | Professional | None | $134.90 | $630.96 | $676.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $1,479.11 Typical High $4,168.69 | Facility | None | $186.21 | $1,479.11 | $4,168.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $100.00 Median $346.74 Typical High $1,621.81 | Professional | None | $100.00 | $346.74 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,454.71 Typical High $6,309.57 | Facility | None | $1,047.13 | $2,454.71 | $6,309.57 |
United Setting Professional Modifier None Typical Low $112.20 Median $309.03 Typical High $676.08 | Professional | None | $112.20 | $309.03 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $74.13 Median $147.91 Typical High $295.12 | Facility | None | $74.13 | $147.91 | $295.12 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $263.03 | Professional | None | $70.79 | $85.11 | $263.03 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $69.18 Typical High $104.71 | Professional | 52 · Reduced service | $54.95 | $69.18 | $104.71 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $34.67 Typical High $45.71 | Professional | 53 · Discontinued | $25.70 | $34.67 | $45.71 |
Where Massachusetts sits
The same service costs 4.1 times more in Minnesota 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
$263
MN $363KY $89.13
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.