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 $707.95 Median $707.95 Typical High $851.14 | Facility | None | $707.95 | $707.95 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,047.13 | Professional | None | $707.95 | $707.95 | $1,047.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $870.96 Typical High $2,818.38 | Facility | None | $54.95 | $870.96 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $2,398.83 Typical High $5,754.40 | Professional | None | $794.33 | $2,398.83 | $5,754.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Facility | None | $213.80 | $245.47 | $323.59 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,137.96 | Professional | None | $933.25 | $1,380.38 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $457.09 Typical High $1,000.00 | Facility | None | $162.18 | $457.09 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,584.89 | $2,344.23 |
Fallon Health Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $1,288.25 | Facility | None | $436.52 | $891.25 | $1,288.25 |
Fallon Health Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $1,288.25 | Professional | None | $512.86 | $812.83 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $2,398.83 | Professional | None | $776.25 | $1,548.82 | $2,398.83 |
Health New England Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $870.96 Typical High $2,818.38 | Facility | None | $54.95 | $870.96 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $2,398.83 Typical High $5,754.40 | Professional | None | $794.33 | $2,398.83 | $5,754.40 |
United Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,479.11 | Facility | None | $524.81 | $977.24 | $1,479.11 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,318.26 Typical High $2,570.40 | Professional | None | $363.08 | $1,318.26 | $2,570.40 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $1,380.38 | Facility | None | $676.08 | $933.25 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier 59 · Distinct service Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 59 · Distinct service | $25.70 | $25.70 | $26.92 |
Mass General Brigham Setting Professional Modifier 59 · Distinct service Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 59 · Distinct service | $25.70 | $25.70 | $26.92 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 11th of 51
$1,259
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.