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 $100.00 Median $100.00 Typical High $269.15 | Facility | None | $100.00 | $100.00 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None | $100.00 | $100.00 | $109.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $371.54 | Facility | None | $257.04 | $275.42 | $371.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $616.60 | Professional | None | $91.20 | $112.20 | $616.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $371.54 | Facility | None | $239.88 | $275.42 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $158.49 | Facility | None | $89.13 | $109.65 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $281.84 | Professional | None | $120.23 | $120.23 | $281.84 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $162.18 | Facility | None | $63.10 | $109.65 | $162.18 |
Fallon Health Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $158.49 | Professional | None | $61.66 | $95.50 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $269.15 | Professional | None | $107.15 | $117.49 | $269.15 |
Health New England Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $177.83 | Facility | None | $144.54 | $144.54 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $371.54 | Facility | None | $257.04 | $275.42 | $371.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $616.60 | Professional | None | $91.20 | $112.20 | $616.60 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $389.05 | Professional | None | $91.20 | $138.04 | $389.05 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $151.36 | Facility | None | $72.44 | $100.00 | $151.36 |
Well Sense Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | None | $63.10 | $63.10 | $75.86 |
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 $50.12 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.88 |
Where Massachusetts sits
The same service costs 3.0 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· 22nd of 51
$115
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.