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 $11.75 Median $23.44 Typical High $52.48 | Facility | None | $11.75 | $23.44 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.59 Median $151.36 Typical High $426.58 | Facility | None | $12.59 | $151.36 | $426.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.02 Median $48.98 Typical High $125.89 | Professional | None | $12.02 | $48.98 | $125.89 |
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 $9.77 Median $19.95 Typical High $38.02 | Facility | None | $9.77 | $19.95 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $52.48 | Professional | None | $8.32 | $13.18 | $52.48 |
Fallon Health Setting Facility Modifier None Typical Low $20.42 Median $23.99 Typical High $5,888.44 | Facility | None | $20.42 | $23.99 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.77 Median $17.38 Typical High $22.91 | Professional | None | $9.77 | $17.38 | $22.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.59 Median $151.36 Typical High $426.58 | Facility | None | $12.59 | $151.36 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.02 Median $48.98 Typical High $125.89 | Professional | None | $12.02 | $48.98 | $125.89 |
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 $7.59 Median $13.49 Typical High $14.79 | Professional | None | $7.59 | $13.49 | $14.79 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $3,090.30 Typical High $4,897.79 | Facility | None | $19.05 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,511.89 | $3,388.44 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.34 |
Where Massachusetts sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 11th of 51
$17.38
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.