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 $16.22 Median $16.22 Typical High $48.98 | Facility | None | $16.22 | $16.22 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $16.60 | Professional | None | $15.85 | $16.22 | $16.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $91.20 | Facility | None | $64.57 | $67.61 | $91.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $120.23 | Professional | None | $15.85 | $21.38 | $120.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $77.62 | Facility | None | $50.12 | $57.54 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $77.62 Typical High $181.97 | Facility | None | $38.02 | $77.62 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $35.48 | Professional | None | $14.45 | $14.45 | $35.48 |
Fallon Health Setting Facility Modifier None Typical Low $15.14 Median $28.18 Typical High $41.69 | Facility | None | $15.14 | $28.18 | $41.69 |
Fallon Health Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $37.15 | Professional | None | $15.14 | $25.70 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $28.84 | Professional | None | $15.14 | $18.20 | $28.84 |
Health New England Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $85.11 | Facility | None | $79.43 | $79.43 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $91.20 | Facility | None | $64.57 | $67.61 | $91.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $120.23 | Professional | None | $15.85 | $21.38 | $120.23 |
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 $12.59 Median $16.98 Typical High $26.30 | Professional | None | $12.59 | $16.98 | $26.30 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $22.39 Typical High $33.11 | Facility | None | $15.85 | $22.39 | $33.11 |
Well Sense Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $30.90 | Professional | None | $10.00 | $10.00 | $30.90 |
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 $7.94 Median $8.13 Typical High $8.32 | Professional | 52 · Reduced service | $7.94 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.31 |
Where Massachusetts sits
The same service costs 2.6 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· 31st of 51
$19.05
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.