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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | None | $120.23 | $120.23 | $128.82 |
AllWays Health Partners Setting Professional Modifier None Typical Low $162.18 Median $602.56 Typical High $912.01 | Professional | None | $162.18 | $602.56 | $912.01 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $371.54 | Facility | None | $162.18 | $251.19 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $371.54 | Professional | None | $186.21 | $245.47 | $371.54 |
Fallon Health Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $223.87 | Facility | None | $91.20 | $158.49 | $223.87 |
Fallon Health Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $223.87 | Professional | None | $91.20 | $144.54 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $446.68 | Professional | None | $158.49 | $275.42 | $446.68 |
Health New England Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | None | $199.53 | $199.53 | $208.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $162.18 Median $602.56 Typical High $912.01 | Professional | None | $162.18 | $602.56 | $912.01 |
United Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $501.19 | Facility | None | $177.83 | $338.84 | $501.19 |
United Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $562.34 | Professional | None | $141.25 | $223.87 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $208.93 | Facility | None | $102.33 | $141.25 | $208.93 |
Well Sense Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None | $85.11 | $85.11 | $102.33 |
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 $60.26 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.99 | $23.99 | $24.55 |
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· 9th of 51
$224
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.