How much rates vary
Facilitymedian $110 · 10th to 90th $51 to $257Professionalmedian $138 · 10th to 90th $76 to $1,413
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 $75.86 Median $416.87 Typical High $630.96 | Facility | None | $75.86 | $416.87 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $141.25 | Professional | None | $75.86 | $75.86 | $141.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $288.40 | Facility | None | $204.17 | $213.80 | $288.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $1,412.54 | Professional | None | $81.28 | $204.17 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $257.04 | Facility | None | $165.96 | $194.98 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $239.88 | Professional | None | $74.13 | $123.03 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $295.12 | Facility | None | $114.82 | $114.82 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $208.93 | Professional | None | $128.82 | $144.54 | $208.93 |
Fallon Health Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $123.03 | Facility | None | $48.98 | $87.10 | $123.03 |
Fallon Health Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $123.03 | Professional | None | $48.98 | $77.62 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $229.09 | Professional | None | $89.13 | $154.88 | $229.09 |
Health New England Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $131.83 | Professional | None | $104.71 | $128.82 | $131.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $288.40 | Facility | None | $204.17 | $213.80 | $288.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $1,412.54 | Professional | None | $81.28 | $204.17 | $1,412.54 |
Tufts Setting Professional Modifier None Typical Low $63.10 Median $109.65 Typical High $134.90 | Professional | None | $63.10 | $109.65 | $134.90 |
United Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $239.88 | Professional | None | $81.28 | $144.54 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $112.20 | Facility | None | $53.70 | $75.86 | $112.20 |
Well Sense Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
4 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 $38.02 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $15.14 | $16.60 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $35.48 Typical High $48.98 | Professional | 53 · Discontinued | $21.88 | $35.48 | $48.98 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $151.36 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $97.72 | $151.36 | $407.38 |
Where Massachusetts sits
The same service costs 2.7 times more in Minnesota 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· 10th of 51
$138
MN $166FL $61.66
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.