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 $31.62 Median $57.54 Typical High $181.97 | Facility | None | $31.62 | $57.54 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $91.20 | Professional | None | $31.62 | $57.54 | $91.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $69.18 Median $89.13 Typical High $676.08 | Facility | None | $69.18 | $89.13 | $676.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $34.67 Median $131.83 Typical High $691.83 | Professional | None | $34.67 | $131.83 | $691.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $69.18 | Facility | None | $29.51 | $29.51 | $69.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $29.51 Median $162.18 Typical High $389.05 | Professional | None | $29.51 | $162.18 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $91.20 Typical High $295.12 | Professional | None | $35.48 | $91.20 | $295.12 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $51.29 | Facility | None | $16.98 | $32.36 | $51.29 |
Fallon Health Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $234.42 | Professional | None | $89.13 | $154.88 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $93.33 Typical High $371.54 | Professional | None | $32.36 | $93.33 | $371.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $69.18 Median $89.13 Typical High $676.08 | Facility | None | $69.18 | $89.13 | $676.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $34.67 Median $131.83 Typical High $691.83 | Professional | None | $34.67 | $131.83 | $691.83 |
United Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,479.11 | Facility | None | $524.81 | $977.24 | $1,479.11 |
United Setting Professional Modifier None Typical Low $34.67 Median $81.28 Typical High $239.88 | Professional | None | $34.67 | $81.28 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $60.26 Typical High $154.88 | Facility | None | $30.20 | $60.26 | $154.88 |
Well Sense Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $52.48 | Professional | None | $23.44 | $28.18 | $52.48 |
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 $15.85 Median $28.84 Typical High $37.15 | Professional | 52 · Reduced service | $15.85 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $11.48 Typical High $14.79 | Professional | 53 · Discontinued | $6.31 | $11.48 | $14.79 |
Where Massachusetts sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 9th of 51
$95.50
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.