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 $23.44 Median $66.07 Typical High $245.47 | Facility | None | $23.44 | $66.07 | $245.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $66.07 Median $245.47 Typical High $630.96 | Professional | None | $66.07 | $245.47 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $74.13 | Facility | None | $36.31 | $51.29 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $194.98 | Facility | None | $51.29 | $100.00 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $93.33 Typical High $263.03 | Professional | None | $41.69 | $93.33 | $263.03 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $5,888.44 | Facility | None | $83.18 | $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 $58.88 Median $85.11 Typical High $112.20 | Professional | None | $58.88 | $85.11 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $23.44 Median $66.07 Typical High $245.47 | Facility | None | $23.44 | $66.07 | $245.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $66.07 Median $245.47 Typical High $630.96 | Professional | None | $66.07 | $245.47 | $630.96 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $83.18 | Professional | None | $48.98 | $69.18 | $83.18 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,630.78 | $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 $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 9.3 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· 11th of 51
$85.11
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.