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 $23.99 Median $23.99 Typical High $29.51 | Facility | None | $23.99 | $23.99 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | None | $23.99 | $23.99 | $37.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $25.70 Median $61.66 Typical High $74.13 | Facility | None | $25.70 | $61.66 | $74.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.70 Median $61.66 Typical High $151.36 | Professional | None | $25.70 | $61.66 | $151.36 |
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 Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $66.07 | Professional | None | $34.67 | $41.69 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $14.45 Median $27.54 Typical High $48.98 | Facility | None | $14.45 | $27.54 | $48.98 |
Fallon Health Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $37.15 | Professional | None | $14.45 | $23.44 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $27.54 Median $47.86 Typical High $79.43 | Professional | None | $27.54 | $47.86 | $79.43 |
Health New England Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | None | $181.97 | $181.97 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $25.70 Median $61.66 Typical High $74.13 | Facility | None | $25.70 | $61.66 | $74.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.70 Median $61.66 Typical High $151.36 | Professional | None | $25.70 | $61.66 | $151.36 |
United Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $79.43 | Professional | None | $28.18 | $41.69 | $79.43 |
Well Sense Setting Facility Modifier None Typical Low $17.38 Median $23.99 Typical High $35.48 | Facility | None | $17.38 | $23.99 | $35.48 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $27.54 Typical High $74.13 | Professional | 52 · Reduced service | $17.78 | $27.54 | $74.13 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.47 Typical High $14.45 | Professional | 53 · Discontinued | $6.31 | $10.47 | $14.45 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska 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· 13th of 51
$37.15
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.