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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | None | $501.19 | $501.19 | $512.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $1,584.89 | Facility | None | $575.44 | $616.60 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $263.03 Median $1,202.26 Typical High $2,818.38 | Professional | None | $263.03 | $1,202.26 | $2,818.38 |
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 $457.09 Median $501.19 Typical High $741.31 | Facility | None | $457.09 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,445.44 | Professional | None | $616.60 | $616.60 | $1,445.44 |
Fallon Health Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $776.25 | Facility | None | $309.03 | $549.54 | $776.25 |
Fallon Health Setting Professional Modifier None Typical Low $309.03 Median $524.81 Typical High $776.25 | Professional | None | $309.03 | $524.81 | $776.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,348.96 | Professional | None | $489.78 | $707.95 | $1,348.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $1,584.89 | Facility | None | $575.44 | $616.60 | $1,584.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $263.03 Median $1,202.26 Typical High $2,818.38 | Professional | None | $263.03 | $1,202.26 | $2,818.38 |
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 $288.40 Median $630.96 Typical High $1,412.54 | Professional | None | $288.40 | $630.96 | $1,412.54 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $724.44 | Facility | None | $398.11 | $467.74 | $724.44 |
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 $251.19 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $100.00 | $102.33 |
Where Massachusetts sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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· 13th of 51
$617
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.