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 $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | None | $251.19 | $257.04 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $691.83 | Facility | None | $239.88 | $575.44 | $691.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $5,011.87 | Professional | None | $245.47 | $501.19 | $5,011.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $234.42 Median $616.60 Typical High $851.14 | Facility | None | $234.42 | $616.60 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $707.95 | Professional | None | $309.03 | $316.23 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $346.74 | Facility | None | $134.90 | $263.03 | $346.74 |
Fallon Health Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $426.58 | Professional | None | $165.96 | $295.12 | $426.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $741.31 | Professional | None | $257.04 | $416.87 | $741.31 |
Health New England Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,862.09 | $1,995.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $691.83 | Facility | None | $239.88 | $575.44 | $691.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $5,011.87 | Professional | None | $245.47 | $501.19 | $5,011.87 |
United Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $954.99 | Professional | None | $275.42 | $380.19 | $954.99 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $426.58 | Facility | None | $186.21 | $257.04 | $426.58 |
Well Sense Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $245.47 | Professional | None | $199.53 | $204.17 | $245.47 |
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 $125.89 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $125.89 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $50.12 | $51.29 | $53.70 |
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· 16th of 51
$339
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.