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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | None | $53.70 | $53.70 | $69.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $316.23 | Facility | None | $102.33 | $138.04 | $316.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $47.86 Median $102.33 Typical High $331.13 | Professional | None | $47.86 | $102.33 | $331.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $46.77 Median $190.55 Typical High $269.15 | Facility | None | $46.77 | $190.55 | $269.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $100.00 | Professional | None | $46.77 | $57.54 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $151.36 | Professional | None | $61.66 | $63.10 | $151.36 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $52.48 Typical High $81.28 | Facility | None | $26.92 | $52.48 | $81.28 |
Fallon Health Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $83.18 | Professional | None | $31.62 | $57.54 | $83.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $144.54 | Professional | None | $51.29 | $87.10 | $144.54 |
Health New England Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $316.23 | Facility | None | $102.33 | $138.04 | $316.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $47.86 Median $102.33 Typical High $331.13 | Professional | None | $47.86 | $102.33 | $331.13 |
United Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $371.54 | Facility | None | $131.83 | $251.19 | $371.54 |
United Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $199.53 | Professional | None | $57.54 | $79.43 | $199.53 |
Well Sense Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $89.13 | Facility | None | $38.90 | $53.70 | $89.13 |
Well Sense Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
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 $26.30 Median $26.92 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $11.22 | Professional | 53 · Discontinued | $10.72 | $10.72 | $11.22 |
Where Massachusetts sits
The same service costs 2.7 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
$69.18
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.