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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $851.14 | Professional | None | $812.83 | $812.83 | $851.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $2,398.83 | Facility | None | $537.03 | $1,122.02 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $489.78 Median $1,778.28 Typical High $4,677.35 | Professional | None | $489.78 | $1,778.28 | $4,677.35 |
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 $1,000.00 Median $1,000.00 Typical High $2,344.23 | Professional | None | $1,000.00 | $1,000.00 | $2,344.23 |
Fallon Health Setting Facility Modifier None Typical Low $467.74 Median $831.76 Typical High $1,348.96 | Facility | None | $467.74 | $831.76 | $1,348.96 |
Fallon Health Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $1,348.96 | Professional | None | $467.74 | $794.33 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,041.74 | Professional | None | $741.31 | $1,174.90 | $2,041.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $2,398.83 | Facility | None | $537.03 | $1,122.02 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $489.78 Median $1,778.28 Typical High $4,677.35 | Professional | None | $489.78 | $1,778.28 | $4,677.35 |
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 $562.34 Median $1,000.00 Typical High $2,137.96 | Professional | None | $562.34 | $1,000.00 | $2,137.96 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $1,071.52 | Facility | None | $602.56 | $707.95 | $1,071.52 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Where Massachusetts sits
The same service costs 4.1 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· 12th of 51
$1,000
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.