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 $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $323.59 | Professional | None | $257.04 | $263.03 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $707.95 | Facility | None | $239.88 | $575.44 | $707.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $251.19 Median $512.86 Typical High $1,584.89 | Professional | None | $251.19 | $512.86 | $1,584.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $239.88 Median $630.96 Typical High $870.96 | Facility | None | $239.88 | $630.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $724.44 | Professional | None | $309.03 | $316.23 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $354.81 | Facility | None | $134.90 | $263.03 | $354.81 |
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 $426.58 Typical High $741.31 | Professional | None | $257.04 | $426.58 | $741.31 |
Health New England Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $707.95 | Facility | None | $239.88 | $575.44 | $707.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $251.19 Median $512.86 Typical High $1,584.89 | Professional | None | $251.19 | $512.86 | $1,584.89 |
United Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $954.99 | Professional | None | $275.42 | $389.05 | $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 $204.17 Median $208.93 Typical High $251.19 | Professional | None | $204.17 | $208.93 | $251.19 |
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 $128.82 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $52.48 | $54.95 |
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
$347
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.