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 $30.90 Median $30.90 Typical High $489.78 | Facility | None | $30.90 | $30.90 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $97.72 | Facility | None | $66.07 | $72.44 | $97.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $29.51 Median $75.86 Typical High $204.17 | Professional | None | $29.51 | $75.86 | $204.17 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $114.82 | Facility | None | $74.13 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $91.20 | Professional | None | $40.74 | $40.74 | $91.20 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $44.67 | Facility | None | $16.98 | $32.36 | $44.67 |
Fallon Health Setting Professional Modifier None Typical Low $16.60 Median $30.20 Typical High $43.65 | Professional | None | $16.60 | $30.20 | $43.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $85.11 | Professional | None | $32.36 | $52.48 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $97.72 | Facility | None | $66.07 | $72.44 | $97.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $29.51 Median $75.86 Typical High $204.17 | Professional | None | $29.51 | $75.86 | $204.17 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $123.03 | Professional | None | $35.48 | $48.98 | $123.03 |
Well Sense Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $48.98 | Facility | None | $23.99 | $33.11 | $48.98 |
Well Sense Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | None | $120.23 | $120.23 | $144.54 |
3 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 $15.49 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.61 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $4.07 Median $6.61 Typical High $9.12 | Professional | AS · PA/NP assist | $4.07 | $6.61 | $9.12 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in New York. 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· 18th of 51
$42.66
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.