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 $21.38 Median $72.44 Typical High $223.87 | Facility | None | $21.38 | $72.44 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $69.18 Typical High $72.44 | Professional | None | $21.38 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $33.88 Typical High $36.31 | Professional | 52 · Reduced service | $10.72 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $13.80 Typical High $14.45 | Professional | 53 · Discontinued | $4.37 | $13.80 | $14.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $331.13 | Facility | None | $47.86 | $69.18 | $331.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $27.54 Median $109.65 Typical High $436.52 | Professional | None | $27.54 | $109.65 | $436.52 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.42 Median $218.78 Typical High $302.00 | Facility | None | $20.42 | $218.78 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $331.13 Typical High $537.03 | Facility | None | $97.72 | $331.13 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $81.28 Typical High $169.82 | Professional | None | $33.11 | $81.28 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $11.75 Median $22.91 Typical High $36.31 | Facility | None | $11.75 | $22.91 | $36.31 |
Fallon Health Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $125.89 | Professional | None | $50.12 | $87.10 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $22.39 Median $77.62 Typical High $208.93 | Professional | None | $22.39 | $77.62 | $208.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $331.13 | Facility | None | $47.86 | $69.18 | $331.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $27.54 Median $109.65 Typical High $436.52 | Professional | None | $27.54 | $109.65 | $436.52 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None Typical Low $26.92 Median $74.13 Typical High $213.80 | Professional | None | $26.92 | $74.13 | $213.80 |
Well Sense Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $93.33 | Facility | None | $19.95 | $39.81 | $93.33 |
Well Sense Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $58.88 | Professional | None | $16.98 | $20.42 | $58.88 |
1 more rate 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 |
|---|---|---|---|---|---|
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $10.96 Median $16.22 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $10.96 | $16.22 | $39.81 |
Where Massachusetts sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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
$72.44
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.