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 $21.88 Median $43.65 Typical High $97.72 | Facility | None | $21.88 | $43.65 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | None | $21.38 | $21.88 | $21.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $38.90 Typical High $239.88 | Facility | None | $19.95 | $38.90 | $239.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.88 Median $33.88 Typical High $107.15 | Professional | None | $12.88 | $33.88 | $107.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $331.13 | Facility | None | $165.96 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $72.44 | Facility | None | $22.91 | $26.92 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $31.62 Typical High $138.04 | Professional | None | $13.80 | $31.62 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $44.67 Typical High $5,888.44 | Facility | None | $38.02 | $44.67 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.59 Median $32.36 Typical High $331.13 | Professional | None | $12.59 | $32.36 | $331.13 |
Health New England Setting Facility Modifier None Typical Low $45.71 Median $47.86 Typical High $154.88 | Facility | None | $45.71 | $47.86 | $154.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $38.90 Typical High $239.88 | Facility | None | $19.95 | $38.90 | $239.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.88 Median $33.88 Typical High $107.15 | Professional | None | $12.88 | $33.88 | $107.15 |
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 $3.16 Median $19.05 Typical High $91.20 | Professional | None | $3.16 | $19.05 | $91.20 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Where Massachusetts sits
The same service costs 8.5 times more in Alaska 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· 12th of 51
$38.02
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.