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 $7.76 Median $7.76 Typical High $25.70 | Facility | None | $7.76 | $7.76 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | None | $7.76 | $7.76 | $8.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.55 Median $177.83 Typical High $177.83 | Professional | None | $9.55 | $177.83 | $177.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.20 Median $21.38 Typical High $28.18 | Facility | None | $18.20 | $21.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $21.88 | Professional | None | $11.75 | $14.13 | $21.88 |
Fallon Health Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $8.71 | Facility | None | $1.29 | $1.29 | $8.71 |
Fallon Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.13 Median $14.79 Typical High $22.91 | Professional | None | $8.13 | $14.79 | $22.91 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.55 Median $177.83 Typical High $177.83 | Professional | None | $9.55 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $29.51 | Professional | None | $8.51 | $13.18 | $29.51 |
Well Sense Setting Facility Modifier None Typical Low $5.75 Median $7.94 Typical High $11.75 | Facility | None | $5.75 | $7.94 | $11.75 |
Well Sense Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | None | $6.03 | $6.03 | $7.24 |
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 $3.80 Median $3.80 Typical High $4.37 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.74 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.74 |
Where Massachusetts sits
The same service costs 2.6 times more in Alaska than in New York. 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· 8th of 51
$15.85
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.