How much rates vary
Facilitymedian $224 · 10th to 90th $95 to $724Professionalmedian $229 · 10th to 90th $138 to $955
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 $138.04 Median $245.47 Typical High $380.19 | Facility | None | $138.04 | $245.47 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Professional | None | $165.96 | $165.96 | $363.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $724.44 | Facility | None | $380.19 | $489.78 | $724.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $141.25 Median $389.05 Typical High $954.99 | Professional | None | $141.25 | $389.05 | $954.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $446.68 Median $524.81 Typical High $691.83 | Facility | None | $446.68 | $524.81 | $691.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | None | $162.18 | $162.18 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $724.44 Typical High $1,174.90 | Facility | None | $316.23 | $724.44 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $363.08 | Professional | None | $177.83 | $229.09 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $239.88 | Facility | None | $89.13 | $165.96 | $239.88 |
Fallon Health Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $239.88 | Professional | None | $91.20 | $154.88 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $446.68 | Professional | None | $162.18 | $316.23 | $446.68 |
Health New England Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $1,288.25 | Facility | None | $436.52 | $562.34 | $1,288.25 |
Health New England Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | None | $199.53 | $245.47 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $724.44 | Facility | None | $380.19 | $489.78 | $724.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $141.25 Median $389.05 Typical High $954.99 | Professional | None | $141.25 | $389.05 | $954.99 |
Tufts Setting Facility Modifier None Typical Low $102.33 Median $416.87 Typical High $870.96 | Facility | None | $102.33 | $416.87 | $870.96 |
Tufts Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $288.40 | Professional | None | $117.49 | $251.19 | $288.40 |
United Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $1,288.25 | Facility | None | $457.09 | $870.96 | $1,288.25 |
United Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $478.63 | Professional | None | $151.36 | $208.93 | $478.63 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $213.80 | Facility | None | $102.33 | $144.54 | $213.80 |
Well Sense Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $66.07 Typical High $87.10 | Professional | 53 · Discontinued | $40.74 | $66.07 | $87.10 |
Where Massachusetts sits
The same service costs 2.9 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· 11th of 51
$229
AK $347FL $120
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.