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 $16.98 Median $34.67 Typical High $75.86 | Facility | None | $16.98 | $34.67 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $64.57 | Facility | None | $18.62 | $25.12 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.78 Median $72.44 Typical High $186.21 | Professional | None | $17.78 | $72.44 | $186.21 |
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 $15.14 Median $30.20 Typical High $57.54 | Facility | None | $15.14 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $75.86 | Professional | None | $12.30 | $20.42 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $5,888.44 | Facility | None | $30.20 | $35.48 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None | $30.20 | $30.20 | $35.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $33.88 | Professional | None | $14.45 | $25.70 | $33.88 |
Health New England Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $64.57 | Facility | None | $18.62 | $25.12 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.78 Median $72.44 Typical High $186.21 | Professional | None | $17.78 | $72.44 | $186.21 |
United Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $234.42 | Facility | None | $83.18 | $154.88 | $234.42 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.95 Typical High $21.88 | Professional | None | $13.18 | $19.95 | $21.88 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $28.84 Typical High $3,630.78 | Facility | None | $19.05 | $28.84 | $3,630.78 |
Well Sense Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $23.99 | Professional | None | $17.78 | $17.78 | $23.99 |
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 $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
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· 13th of 51
$25.70
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.