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 $186.21 Median $186.21 Typical High $239.88 | Facility | None | $186.21 | $186.21 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | None | $239.88 | $239.88 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $831.76 | Facility | None | $269.15 | $588.84 | $831.76 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $645.65 Typical High $1,548.82 | Professional | None | $229.09 | $645.65 | $1,548.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $588.84 | Facility | None | $380.19 | $436.52 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $371.54 | Facility | None | $223.87 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $794.33 | Professional | None | $338.84 | $338.84 | $794.33 |
Fallon Health Setting Facility Modifier None Typical Low $154.88 Median $275.42 Typical High $478.63 | Facility | None | $154.88 | $275.42 | $478.63 |
Fallon Health Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $467.74 | Professional | None | $154.88 | $263.03 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $707.95 | Professional | None | $288.40 | $426.58 | $707.95 |
Health New England Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $758.58 | Facility | None | $223.87 | $295.12 | $758.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $831.76 | Facility | None | $269.15 | $588.84 | $831.76 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $645.65 Typical High $1,548.82 | Professional | None | $229.09 | $645.65 | $1,548.82 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $851.14 | Professional | None | $251.19 | $363.08 | $851.14 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $354.81 | Facility | None | $181.97 | $234.42 | $354.81 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $120.23 Median $120.23 Typical High $123.03 | Professional | 52 · Reduced service | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Where Massachusetts sits
The same service costs 2.8 times more in Nebraska than in Florida. 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· 20th of 51
$339
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.