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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | None | $97.72 | $109.65 | $109.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $117.49 | Facility | None | $44.67 | $91.20 | $117.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | None | $33.11 | $35.48 | $40.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $117.49 | Facility | None | $58.88 | $81.28 | $117.49 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | None | $40.74 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $85.11 Typical High $165.96 | Facility | None | $41.69 | $85.11 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $77.62 | Professional | None | $63.10 | $66.07 | $77.62 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $177.83 | Professional | None | $14.79 | $22.39 | $177.83 |
Health New England Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $117.49 | Facility | None | $44.67 | $91.20 | $117.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | None | $33.11 | $35.48 | $40.74 |
United Setting Facility Modifier None Typical Low $72.44 Median $138.04 Typical High $204.17 | Facility | None | $72.44 | $138.04 | $204.17 |
United Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $53.70 | Professional | None | $21.38 | $21.38 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $3,630.78 | Facility | None | $33.11 | $51.29 | $3,630.78 |
Well Sense Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | None | $31.62 | $31.62 | $38.02 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Where Massachusetts sits
The same service costs 15.8 times more in Illinois than in Colorado. 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· 36th of 51
$64.57
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.