How much rates vary
Facilitymedian $33 · 10th to 90th $13 to $295Professionalmedian $47 · 10th to 90th $21 to $309
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 $25.70 Median $28.18 Typical High $123.03 | Facility | None | $25.70 | $28.18 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | None | $28.18 | $28.18 | $40.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $257.04 | Facility | None | $52.48 | $67.61 | $257.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $26.30 Median $66.07 Typical High $309.03 | Professional | None | $26.30 | $66.07 | $309.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $257.04 | Facility | None | $165.96 | $190.55 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $218.78 Typical High $338.84 | Facility | None | $31.62 | $218.78 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $131.83 | Professional | None | $57.54 | $70.79 | $131.83 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $66.07 | Facility | None | $12.30 | $24.55 | $66.07 |
Fallon Health Setting Professional Modifier None Typical Low $12.30 Median $19.50 Typical High $30.20 | Professional | None | $12.30 | $19.50 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $21.88 Median $43.65 Typical High $87.10 | Professional | None | $21.88 | $43.65 | $87.10 |
Health New England Setting Facility Modifier None Typical Low $151.36 Median $398.11 Typical High $537.03 | Facility | None | $151.36 | $398.11 | $537.03 |
Health New England Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $257.04 | Facility | None | $52.48 | $67.61 | $257.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $26.30 Median $66.07 Typical High $309.03 | Professional | None | $26.30 | $66.07 | $309.03 |
Tufts Setting Facility Modifier None Typical Low $14.79 Median $190.55 Typical High $407.38 | Facility | None | $14.79 | $190.55 | $407.38 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $28.18 Median $53.70 Typical High $87.10 | Professional | None | $28.18 | $53.70 | $87.10 |
Well Sense Setting Facility Modifier None Typical Low $14.79 Median $20.42 Typical High $30.20 | Facility | None | $14.79 | $20.42 | $30.20 |
Well Sense Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | None | $26.30 | $26.30 | $31.62 |
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 $14.13 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.89 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $83.18 Median $95.50 Typical High $128.82 | Facility | 52 · Reduced service | $83.18 | $95.50 | $128.82 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $23.99 Typical High $66.07 | Professional | 52 · Reduced service | $15.85 | $23.99 | $66.07 |
Where Massachusetts sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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· 5th of 51
$46.77
MN $53.70PA $17.78
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.