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 $25.12 Median $25.12 Typical High $112.20 | Facility | None | $25.12 | $25.12 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $26.30 | Professional | None | $23.99 | $25.12 | $26.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $426.58 | Facility | None | $23.44 | $35.48 | $426.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.96 Median $38.02 Typical High $123.03 | Professional | None | $10.96 | $38.02 | $123.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $630.96 | Facility | None | $316.23 | $436.52 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | None | $21.38 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $33.11 Typical High $83.18 | Facility | None | $28.18 | $33.11 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $37.15 Typical High $158.49 | Professional | None | $17.38 | $37.15 | $158.49 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $5,888.44 | Facility | None | $44.67 | $52.48 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $630.96 | Professional | None | $18.62 | $37.15 | $630.96 |
Health New England Setting Facility Modifier None Typical Low $31.62 Median $63.10 Typical High $316.23 | Facility | None | $31.62 | $63.10 | $316.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $426.58 | Facility | None | $23.44 | $35.48 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.96 Median $38.02 Typical High $123.03 | Professional | None | $10.96 | $38.02 | $123.03 |
Tufts Setting Facility Modifier None Typical Low $21.38 Median $467.74 Typical High $707.95 | Facility | None | $21.38 | $467.74 | $707.95 |
United Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $1,412.54 | Facility | None | $501.19 | $954.99 | $1,412.54 |
United Setting Professional Modifier None Typical Low $3.16 Median $24.55 Typical High $104.71 | Professional | None | $3.16 | $24.55 | $104.71 |
Well Sense Setting Facility Modifier None Typical Low $39.81 Median $2,511.89 Typical High $4,365.16 | Facility | None | $39.81 | $2,511.89 | $4,365.16 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Where Massachusetts sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 18th of 51
$39.81
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.