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 $16.60 Median $16.98 Typical High $21.38 | Facility | None | $16.60 | $16.98 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $25.12 | Professional | None | $16.60 | $16.60 | $25.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $31.62 Median $42.66 Typical High $91.20 | Facility | None | $31.62 | $42.66 | $91.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.22 Median $35.48 Typical High $91.20 | Professional | None | $16.22 | $35.48 | $91.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $81.28 | Facility | None | $52.48 | $60.26 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $95.50 | Facility | None | $57.54 | $63.10 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $38.90 | Professional | None | $22.39 | $23.99 | $38.90 |
Fallon Health Setting Facility Modifier None Typical Low $7.94 Median $15.14 Typical High $27.54 | Facility | None | $7.94 | $15.14 | $27.54 |
Fallon Health Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $19.50 | Professional | None | $7.94 | $12.59 | $19.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.13 Median $26.30 Typical High $54.95 | Professional | None | $14.13 | $26.30 | $54.95 |
Health New England Setting Facility Modifier None Typical Low $67.61 Median $144.54 Typical High $223.87 | Facility | None | $67.61 | $144.54 | $223.87 |
Health New England Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $29.51 | Professional | None | $13.80 | $17.38 | $29.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $31.62 Median $42.66 Typical High $91.20 | Facility | None | $31.62 | $42.66 | $91.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.22 Median $35.48 Typical High $91.20 | Professional | None | $16.22 | $35.48 | $91.20 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $17.78 Median $26.30 Typical High $54.95 | Professional | None | $17.78 | $26.30 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $9.55 Median $13.18 Typical High $19.50 | Facility | None | $9.55 | $13.18 | $19.50 |
Well Sense Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | None | $16.60 | $16.60 | $19.50 |
3 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 $8.32 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $8.13 Typical High $21.38 | Professional | 53 · Discontinued | $4.68 | $8.13 | $21.38 |
Where Massachusetts sits
The same service costs 3.0 times more in Minnesota 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
$22.91
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.