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 $58.88 Median $117.49 Typical High $257.04 | Facility | None | $58.88 | $117.49 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $426.58 | Facility | None | $53.70 | $81.28 | $426.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $46.77 Median $91.20 Typical High $281.84 | Professional | None | $46.77 | $91.20 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $194.98 | Facility | None | $60.26 | $72.44 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $85.11 Typical High $363.08 | Professional | None | $39.81 | $85.11 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $5,888.44 | Facility | None | $102.33 | $120.23 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $478.63 | Professional | None | $48.98 | $85.11 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $426.58 | Facility | None | $53.70 | $81.28 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $46.77 Median $91.20 Typical High $281.84 | Professional | None | $46.77 | $91.20 | $281.84 |
United Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $676.08 | Facility | None | $239.88 | $446.68 | $676.08 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $446.68 | Professional | None | $42.66 | $61.66 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $38.02 Median $2,511.89 Typical High $4,365.16 | Facility | None | $38.02 | $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 $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Where Massachusetts sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 17th of 51
$87.10
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.