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 $11.75 Median $42.66 Typical High $190.55 | Facility | None | $11.75 | $42.66 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $30.20 Typical High $54.95 | Professional | None | $11.75 | $30.20 | $54.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $245.47 | Professional | None | $14.45 | $58.88 | $245.47 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $25.70 | Facility | None | $10.96 | $10.96 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $50.12 Typical High $95.50 | Professional | None | $21.88 | $50.12 | $95.50 |
Fallon Health Setting Facility Modifier None Typical Low $6.31 Median $12.59 Typical High $32.36 | Facility | None | $6.31 | $12.59 | $32.36 |
Fallon Health Setting Professional Modifier None Typical Low $24.55 Median $42.66 Typical High $63.10 | Professional | None | $24.55 | $42.66 | $63.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.18 Median $44.67 Typical High $104.71 | Professional | None | $13.18 | $44.67 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $52.48 Median $616.60 Typical High $741.31 | Facility | None | $52.48 | $616.60 | $741.31 |
Health New England Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $37.15 | Professional | None | $24.55 | $29.51 | $37.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $245.47 | Professional | None | $14.45 | $58.88 | $245.47 |
Tufts Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $58.88 | Professional | None | $28.84 | $28.84 | $58.88 |
United Setting Professional Modifier None Typical Low $13.18 Median $45.71 Typical High $112.20 | Professional | None | $13.18 | $45.71 | $112.20 |
Well Sense Setting Facility Modifier None Typical Low $10.00 Median $19.50 Typical High $48.98 | Facility | None | $10.00 | $19.50 | $48.98 |
Well Sense Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $39.81 | Professional | None | $9.33 | $11.22 | $39.81 |
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 $5.89 Median $12.59 Typical High $21.38 | Professional | 52 · Reduced service | $5.89 | $12.59 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $5.01 Typical High $8.51 | Professional | 53 · Discontinued | $2.34 | $5.01 | $8.51 |
Where Massachusetts sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 12th of 51
$42.66
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.