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 $40.74 Median $40.74 Typical High $48.98 | Facility | None | $40.74 | $40.74 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | None | $40.74 | $40.74 | $48.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $891.25 | Facility | None | $257.04 | $302.00 | $891.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $56.23 Median $616.60 Typical High $1,318.26 | Professional | None | $56.23 | $616.60 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $173.78 Median $199.53 Typical High $269.15 | Facility | None | $173.78 | $199.53 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $302.00 | Facility | None | $181.97 | $204.17 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $501.19 Typical High $691.83 | Professional | None | $177.83 | $501.19 | $691.83 |
Fallon Health Setting Facility Modifier None Typical Low $173.78 Median $309.03 Typical High $426.58 | Facility | None | $173.78 | $309.03 | $426.58 |
Fallon Health Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $426.58 | Professional | None | $173.78 | $275.42 | $426.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $56.23 Median $309.03 Typical High $724.44 | Professional | None | $56.23 | $309.03 | $724.44 |
Health New England Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $891.25 | Facility | None | $257.04 | $302.00 | $891.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $56.23 Median $616.60 Typical High $1,318.26 | Professional | None | $56.23 | $616.60 | $1,318.26 |
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 $46.77 Median $83.18 Typical High $691.83 | Professional | None | $46.77 | $83.18 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $398.11 | Facility | None | $190.55 | $269.15 | $398.11 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Where Massachusetts sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 16th of 51
$309
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.