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 $23.99 Median $23.99 Typical High $63.10 | Facility | None | $23.99 | $23.99 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $63.10 | Professional | None | $23.99 | $39.81 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $74.13 | Facility | None | $52.48 | $66.07 | $74.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.70 Median $63.10 Typical High $323.59 | Professional | None | $25.70 | $63.10 | $323.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $22.39 Median $53.70 Typical High $74.13 | Facility | None | $22.39 | $53.70 | $74.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.39 Median $66.07 Typical High $107.15 | Professional | None | $22.39 | $66.07 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $69.18 Typical High $123.03 | Professional | None | $33.11 | $69.18 | $123.03 |
Fallon Health Setting Facility Modifier None Typical Low $12.88 Median $24.55 Typical High $38.90 | Facility | None | $12.88 | $24.55 | $38.90 |
Fallon Health Setting Professional Modifier None Typical Low $37.15 Median $63.10 Typical High $97.72 | Professional | None | $37.15 | $63.10 | $97.72 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $24.55 Median $64.57 Typical High $151.36 | Professional | None | $24.55 | $64.57 | $151.36 |
Health New England Setting Facility Modifier None Typical Low $323.59 Median $331.13 Typical High $371.54 | Facility | None | $323.59 | $331.13 | $371.54 |
Health New England Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $74.13 | Facility | None | $52.48 | $66.07 | $74.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.70 Median $63.10 Typical High $323.59 | Professional | None | $25.70 | $63.10 | $323.59 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $26.30 Median $61.66 Typical High $151.36 | Professional | None | $26.30 | $61.66 | $151.36 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $39.81 Typical High $67.61 | Facility | None | $20.42 | $39.81 | $67.61 |
Well Sense Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $48.98 | Professional | None | $18.20 | $26.92 | $48.98 |
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 $12.02 Median $16.98 Typical High $31.62 | Professional | 52 · Reduced service | $12.02 | $16.98 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $8.51 Typical High $12.59 | Professional | 53 · Discontinued | $4.79 | $8.51 | $12.59 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $9.55 Typical High $16.60 | Professional | 53 · Discontinued | $5.62 | $9.55 | $16.60 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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
$61.66
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.