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 $144.54 Median $144.54 Typical High $524.81 | Facility | None | $144.54 | $144.54 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $181.97 | Professional | None | $144.54 | $144.54 | $181.97 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,318.26 | Facility | None | $346.74 | $630.96 | $1,318.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $549.54 Typical High $1,548.82 | Professional | None | $173.78 | $549.54 | $1,548.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $724.44 Median $851.14 Typical High $1,122.02 | Facility | None | $724.44 | $851.14 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $1,288.25 | Facility | None | $776.25 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $758.58 | Professional | None | $309.03 | $309.03 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $120.23 Median $239.88 Typical High $489.78 | Facility | None | $120.23 | $239.88 | $489.78 |
Fallon Health Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $416.87 | Professional | None | $120.23 | $239.88 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $660.69 | Professional | None | $218.78 | $389.05 | $660.69 |
Health New England Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $2,187.76 | Facility | None | $446.68 | $1,258.93 | $2,187.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,318.26 | Facility | None | $346.74 | $630.96 | $1,318.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $549.54 Typical High $1,548.82 | Professional | None | $173.78 | $549.54 | $1,548.82 |
United Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,479.11 | Facility | None | $524.81 | $977.24 | $1,479.11 |
United Setting Professional Modifier None Typical Low $181.97 Median $512.86 Typical High $1,202.26 | Professional | None | $181.97 | $512.86 | $1,202.26 |
Well Sense Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $275.42 | Facility | None | $138.04 | $177.83 | $275.42 |
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 $72.44 Median $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $28.84 | $35.48 |
Where Massachusetts sits
The same service costs 4.2 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· 25th of 51
$309
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.