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 $8.32 Median $8.32 Typical High $23.44 | Facility | None | $8.32 | $8.32 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $23.44 | Professional | None | $8.32 | $16.60 | $23.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $25.70 | Facility | None | $16.98 | $19.05 | $25.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $128.82 | Professional | None | $8.91 | $23.44 | $128.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.76 Median $20.42 Typical High $28.84 | Facility | None | $7.76 | $20.42 | $28.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.76 Median $23.44 Typical High $45.71 | Professional | None | $7.76 | $23.44 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $26.30 Typical High $50.12 | Professional | None | $11.75 | $26.30 | $50.12 |
Fallon Health Setting Facility Modifier None Typical Low $4.37 Median $8.51 Typical High $13.49 | Facility | None | $4.37 | $8.51 | $13.49 |
Fallon Health Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $38.90 | Professional | None | $14.79 | $25.12 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $22.91 Typical High $60.26 | Professional | None | $8.51 | $22.91 | $60.26 |
Health New England Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $186.21 | Facility | None | $162.18 | $162.18 | $186.21 |
Health New England Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $25.70 | Facility | None | $16.98 | $19.05 | $25.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $128.82 | Professional | None | $8.91 | $23.44 | $128.82 |
United Setting Professional Modifier None Typical Low $9.33 Median $22.39 Typical High $60.26 | Professional | None | $9.33 | $22.39 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $7.08 Median $13.80 Typical High $26.92 | Facility | None | $7.08 | $13.80 | $26.92 |
Well Sense Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $19.05 | Professional | None | $6.31 | $9.33 | $19.05 |
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 $4.17 Median $7.76 Typical High $11.75 | Professional | 52 · Reduced service | $4.17 | $7.76 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $3.16 Typical High $4.68 | Professional | 53 · Discontinued | $1.70 | $3.16 | $4.68 |
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· 9th of 51
$22.91
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.