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 $208.93 Median $208.93 Typical High $213.80 | Facility | None | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | None | $208.93 | $213.80 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $467.74 Typical High $575.44 | Facility | None | $194.98 | $467.74 | $575.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $1,288.25 | Professional | None | $204.17 | $407.38 | $1,288.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $194.98 Median $512.86 Typical High $691.83 | Facility | None | $194.98 | $512.86 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $588.84 | Professional | None | $257.04 | $263.03 | $588.84 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $288.40 | Facility | None | $109.65 | $213.80 | $288.40 |
Fallon Health Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $354.81 | Professional | None | $138.04 | $245.47 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $616.60 | Professional | None | $213.80 | $346.74 | $616.60 |
Health New England Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $426.58 | Professional | None | $380.19 | $416.87 | $426.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $467.74 Typical High $575.44 | Facility | None | $194.98 | $467.74 | $575.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $1,288.25 | Professional | None | $204.17 | $407.38 | $1,288.25 |
United Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $776.25 | Professional | None | $223.87 | $316.23 | $776.25 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $346.74 | Facility | None | $151.36 | $213.80 | $346.74 |
Well Sense Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $199.53 | Professional | None | $165.96 | $169.82 | $199.53 |
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 $104.71 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $42.66 | $44.67 |
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· 14th of 51
$282
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.