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 $53.70 Median $53.70 Typical High $128.82 | Facility | None | $53.70 | $53.70 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $53.70 | Professional | None | $46.77 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $23.44 | $26.92 | $26.92 |
AllWays Health Partners Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $229.09 | Facility | None | $66.07 | $104.71 | $229.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $323.59 | Professional | None | $38.02 | $50.12 | $323.59 |
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 Facility Modifier 52 · Reduced service Typical Low $25.70 Median $28.84 Typical High $38.90 | Facility | 52 · Reduced service | $25.70 | $28.84 | $38.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $181.97 | Facility | None | $38.02 | $95.50 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $95.50 | Professional | None | $33.88 | $33.88 | $95.50 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $102.33 | Facility | None | $41.69 | $77.62 | $102.33 |
Fallon Health Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $102.33 | Professional | None | $41.69 | $70.79 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $81.28 | Professional | None | $38.02 | $50.12 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $177.83 | Facility | None | $41.69 | $43.65 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $229.09 | Facility | None | $66.07 | $104.71 | $229.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $323.59 | Professional | None | $38.02 | $50.12 | $323.59 |
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 $33.88 Median $46.77 Typical High $81.28 | Professional | None | $33.88 | $46.77 | $81.28 |
Well Sense Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $85.11 | Facility | None | $43.65 | $60.26 | $85.11 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $85.11 | Professional | None | $26.92 | $26.92 | $85.11 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.33 | $10.72 | $10.72 |
Where Massachusetts sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 30th of 51
$53.70
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.