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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | None | $363.08 | $363.08 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $63.10 Median $426.58 Typical High $1,862.09 | Facility | None | $63.10 | $426.58 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $426.58 Median $1,096.48 Typical High $2,754.23 | Professional | None | $426.58 | $1,096.48 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $1,230.27 | Professional | None | $512.86 | $537.03 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $724.44 Typical High $5,888.44 | Facility | None | $83.18 | $724.44 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $457.09 Median $977.24 Typical High $1,348.96 | Professional | None | $457.09 | $977.24 | $1,348.96 |
Health New England Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $63.10 Median $426.58 Typical High $1,862.09 | Facility | None | $63.10 | $426.58 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $426.58 Median $1,096.48 Typical High $2,754.23 | Professional | None | $426.58 | $1,096.48 | $2,754.23 |
United Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $1,445.44 | Professional | None | $389.05 | $575.44 | $1,445.44 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $3,090.30 Typical High $4,897.79 | Facility | None | $354.81 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
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 $181.97 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $72.44 | $72.44 | $75.86 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 3rd of 51
$741
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.