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 $36.31 Median $36.31 Typical High $128.82 | Facility | None | $36.31 | $36.31 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | None | $36.31 | $36.31 | $47.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $91.20 | Facility | None | $33.88 | $79.43 | $91.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $38.90 Median $89.13 Typical High $234.42 | Professional | None | $38.90 | $89.13 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $89.13 | Facility | None | $46.77 | $46.77 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $104.71 | Professional | None | $40.74 | $53.70 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $50.12 | Facility | None | $19.05 | $36.31 | $50.12 |
Fallon Health Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $58.88 | Professional | None | $22.91 | $39.81 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $104.71 | Professional | None | $36.31 | $67.61 | $104.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $91.20 | Facility | None | $33.88 | $79.43 | $91.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $38.90 Median $89.13 Typical High $234.42 | Professional | None | $38.90 | $89.13 | $234.42 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $33.11 | Facility | None | $30.20 | $30.20 | $33.11 |
United Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $141.25 | Professional | None | $38.90 | $52.48 | $141.25 |
Well Sense Setting Facility Modifier None Typical Low $27.54 Median $38.02 Typical High $56.23 | Facility | None | $27.54 | $38.02 | $56.23 |
Well Sense Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $38.02 | Professional | None | $28.18 | $31.62 | $38.02 |
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 $18.20 Median $18.20 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $18.20 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $9.55 | Professional | 53 · Discontinued | $7.24 | $7.24 | $9.55 |
Where Massachusetts sits
The same service costs 2.7 times more in Alaska than in New York. 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· 16th 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.