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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | None | $134.90 | $134.90 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $295.12 Typical High $363.08 | Facility | None | $123.03 | $295.12 | $363.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $1,258.93 | Professional | None | $125.89 | $263.03 | $1,258.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $123.03 Median $323.59 Typical High $446.68 | Facility | None | $123.03 | $323.59 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $380.19 | Professional | None | $165.96 | $169.82 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $181.97 | Facility | None | $70.79 | $134.90 | $181.97 |
Fallon Health Setting Professional Modifier None Typical Low $87.10 Median $154.88 Typical High $223.87 | Professional | None | $87.10 | $154.88 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $389.05 | Professional | None | $134.90 | $218.78 | $389.05 |
Health New England Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,071.52 | Professional | None | $1,000.00 | $1,047.13 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $295.12 Typical High $363.08 | Facility | None | $123.03 | $295.12 | $363.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $1,258.93 | Professional | None | $125.89 | $263.03 | $1,258.93 |
United Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $501.19 | Professional | None | $144.54 | $204.17 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $229.09 | Facility | None | $100.00 | $138.04 | $229.09 |
Well Sense Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $128.82 | Professional | None | $104.71 | $107.15 | $128.82 |
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 $67.61 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $67.61 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $27.54 | $28.84 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska 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· 15th of 51
$178
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.