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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,023.29 | Professional | None | $954.99 | $977.24 | $1,023.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,318.26 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier None Typical Low $831.76 Median $2,137.96 Typical High $5,495.41 | Professional | None | $831.76 | $2,137.96 | $5,495.41 |
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 $1,174.90 Median $1,174.90 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,174.90 | $2,754.23 |
Fallon Health Setting Facility Modifier None Typical Low $549.54 Median $977.24 Typical High $1,584.89 | Facility | None | $549.54 | $977.24 | $1,584.89 |
Fallon Health Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $1,584.89 | Professional | None | $549.54 | $933.25 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,398.83 | Professional | None | $870.96 | $1,318.26 | $2,398.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,318.26 | $3,235.94 |
Mass General Brigham Setting Professional Modifier None Typical Low $831.76 Median $2,137.96 Typical High $5,495.41 | Professional | None | $831.76 | $2,137.96 | $5,495.41 |
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 $1,202.26 Typical High $2,511.89 | Professional | None | $562.34 | $1,202.26 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,288.25 | Facility | None | $707.95 | $831.76 | $1,288.25 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Where Massachusetts sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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
$1,175
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.