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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $426.58 Typical High $676.08 | Facility | None | $173.78 | $426.58 | $676.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $114.82 Median $354.81 Typical High $1,202.26 | Professional | None | $114.82 | $354.81 | $1,202.26 |
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 $281.84 Median $457.09 Typical High $741.31 | Facility | None | $281.84 | $457.09 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | None | $213.80 | $213.80 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $162.18 Typical High $371.54 | Facility | None | $81.28 | $162.18 | $371.54 |
Fallon Health Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $316.23 | Professional | None | $81.28 | $162.18 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $407.38 | Professional | None | $147.91 | $263.03 | $407.38 |
Health New England Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $426.58 | Facility | None | $281.84 | $295.12 | $426.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $426.58 Typical High $676.08 | Facility | None | $173.78 | $426.58 | $676.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $114.82 Median $354.81 Typical High $1,202.26 | Professional | None | $114.82 | $354.81 | $1,202.26 |
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 $120.23 Median $302.00 Typical High $630.96 | Professional | None | $120.23 | $302.00 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $186.21 | Facility | None | $102.33 | $120.23 | $186.21 |
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 $47.86 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $19.50 | $23.44 |
Where Massachusetts sits
The same service costs 5.8 times more in New Hampshire 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· 26th of 51
$214
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.