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 $54.95 Median $54.95 Typical High $223.87 | Facility | None | $54.95 | $54.95 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | None | $54.95 | $54.95 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $190.55 | Facility | None | $125.89 | $141.25 | $190.55 |
AllWays Health Partners Setting Professional Modifier None Typical Low $53.70 Median $144.54 Typical High $977.24 | Professional | None | $53.70 | $144.54 | $977.24 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $194.98 | Facility | None | $128.82 | $147.91 | $194.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $128.82 | Professional | None | $51.29 | $81.28 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $138.04 | Professional | None | $89.13 | $91.20 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $58.88 Typical High $83.18 | Facility | None | $32.36 | $58.88 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $79.43 | Professional | None | $32.36 | $50.12 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $181.97 | Professional | None | $57.54 | $100.00 | $181.97 |
Health New England Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $190.55 | Facility | None | $125.89 | $141.25 | $190.55 |
Mass General Brigham Setting Professional Modifier None Typical Low $53.70 Median $144.54 Typical High $977.24 | Professional | None | $53.70 | $144.54 | $977.24 |
United Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $181.97 | Professional | None | $53.70 | $91.20 | $181.97 |
Well Sense Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $72.44 | Facility | None | $35.48 | $48.98 | $72.44 |
Well Sense Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | None | $52.48 | $52.48 | $63.10 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Where Massachusetts sits
The same service costs 3.5 times more in Minnesota than in Utah. 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· 6th of 51
$95.50
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.