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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | None | $194.98 | $194.98 | $234.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $1,318.26 | Facility | None | $562.34 | $812.83 | $1,318.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $239.88 Median $660.69 Typical High $1,659.59 | Professional | None | $239.88 | $660.69 | $1,659.59 |
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 $338.84 Median $338.84 Typical High $851.14 | Professional | None | $338.84 | $338.84 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $524.81 | Facility | None | $151.36 | $269.15 | $524.81 |
Fallon Health Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $467.74 | Professional | None | $151.36 | $263.03 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $776.25 | Professional | None | $281.84 | $489.78 | $776.25 |
Health New England Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $1,318.26 | Facility | None | $562.34 | $812.83 | $1,318.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $239.88 Median $660.69 Typical High $1,659.59 | Professional | None | $239.88 | $660.69 | $1,659.59 |
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 $239.88 Median $562.34 Typical High $1,202.26 | Professional | None | $239.88 | $562.34 | $1,202.26 |
Well Sense Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $354.81 | Facility | None | $177.83 | $229.09 | $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 $97.72 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $38.90 | $47.86 |
Where Massachusetts sits
The same service costs 3.5 times more in Minnesota 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· 13th of 51
$398
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.