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 $5.01 Median $5.01 Typical High $17.78 | Facility | None | $5.01 | $5.01 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.76 | Professional | None | $5.01 | $5.01 | $7.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.75 Median $12.88 Typical High $17.38 | Facility | None | $11.75 | $12.88 | $17.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.68 Median $11.48 Typical High $162.18 | Professional | None | $4.68 | $11.48 | $162.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.72 Median $12.59 Typical High $30.20 | Facility | None | $10.72 | $12.59 | $30.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $24.55 Typical High $47.86 | Professional | None | $6.31 | $24.55 | $47.86 |
Fallon Health Setting Facility Modifier None Typical Low $2.95 Median $5.89 Typical High $36.31 | Facility | None | $2.95 | $5.89 | $36.31 |
Fallon Health Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $7.76 | Professional | None | $2.95 | $5.01 | $7.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.79 Median $9.12 Typical High $13.18 | Professional | None | $4.79 | $9.12 | $13.18 |
Health New England Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $177.83 | Facility | None | $85.11 | $134.90 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.75 Median $12.88 Typical High $17.38 | Facility | None | $11.75 | $12.88 | $17.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.68 Median $11.48 Typical High $162.18 | Professional | None | $4.68 | $11.48 | $162.18 |
Tufts Setting Facility Modifier None Typical Low $2.88 Median $3.16 Typical High $3.89 | Facility | None | $2.88 | $3.16 | $3.89 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $15.49 | Professional | None | $4.17 | $5.62 | $15.49 |
Well Sense Setting Facility Modifier None Typical Low $2.88 Median $3.98 Typical High $5.89 | Facility | None | $2.88 | $3.98 | $5.89 |
Well Sense Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.37 | Professional | None | $3.24 | $3.24 | $4.37 |
3 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 $2.51 Median $2.51 Typical High $2.82 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.12 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.12 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2.09 Median $2.09 Typical High $2.82 | Professional | 78 · Unplanned return to OR | $2.09 | $2.09 | $2.82 |
Where Massachusetts sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 11th of 51
$6.46
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.