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 $213.80 Median $257.04 Typical High $933.25 | Facility | None | $213.80 | $257.04 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | None | $213.80 | $213.80 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $512.86 Typical High $691.83 | Facility | None | $457.09 | $512.86 | $691.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $213.80 Median $524.81 Typical High $1,778.28 | Professional | None | $213.80 | $524.81 | $1,778.28 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $758.58 | Facility | None | $489.78 | $575.44 | $758.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $467.74 | Professional | None | $208.93 | $309.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $537.03 | Professional | None | $346.74 | $346.74 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $281.84 | Facility | None | $114.82 | $204.17 | $281.84 |
Fallon Health Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $281.84 | Professional | None | $114.82 | $181.97 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $676.08 | Professional | None | $204.17 | $389.05 | $676.08 |
Health New England Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $512.86 Typical High $691.83 | Facility | None | $457.09 | $512.86 | $691.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $213.80 Median $524.81 Typical High $1,778.28 | Professional | None | $213.80 | $524.81 | $1,778.28 |
United Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $676.08 | Professional | None | $223.87 | $407.38 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $288.40 | Facility | None | $141.25 | $194.98 | $288.40 |
Well Sense Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | None | $204.17 | $204.17 | $245.47 |
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 $107.15 Median $107.15 Typical High $114.82 | Professional | 52 · Reduced service | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 53 · Discontinued | $42.66 | $42.66 | $45.71 |
Where Massachusetts sits
The same service costs 2.5 times more in Minnesota 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· 3rd of 51
$380
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.