How much rates vary
Facilitymedian $38 · 10th to 90th $17 to $87Professionalmedian $40 · 10th to 90th $20 to $155
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 $21.38 Median $21.38 Typical High $63.10 | Facility | None | $21.38 | $21.38 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $63.10 | Professional | None | $21.38 | $21.88 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $87.10 | Facility | None | $21.88 | $36.31 | $87.10 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.99 Median $67.61 Typical High $154.88 | Professional | None | $23.99 | $67.61 | $154.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $77.62 | Facility | None | $50.12 | $57.54 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $29.51 Median $47.86 Typical High $66.07 | Professional | None | $29.51 | $47.86 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $190.55 | Facility | None | $38.02 | $64.57 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $74.13 | Professional | None | $24.55 | $31.62 | $74.13 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $30.20 Typical High $43.65 | Facility | None | $16.22 | $30.20 | $43.65 |
Fallon Health Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $39.81 | Professional | None | $16.22 | $27.54 | $39.81 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $79.43 | Professional | None | $26.92 | $53.70 | $79.43 |
Health New England Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $218.78 | Facility | None | $162.18 | $162.18 | $218.78 |
Health New England Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $41.69 | Professional | None | $35.48 | $35.48 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $87.10 | Facility | None | $21.88 | $36.31 | $87.10 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.99 Median $67.61 Typical High $154.88 | Professional | None | $23.99 | $67.61 | $154.88 |
Tufts Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $426.58 | Facility | None | $33.11 | $61.66 | $426.58 |
Tufts Setting Professional Modifier None Typical Low $19.50 Median $27.54 Typical High $50.12 | Professional | None | $19.50 | $27.54 | $50.12 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $91.20 | Professional | None | $21.88 | $32.36 | $91.20 |
Well Sense Setting Facility Modifier None Typical Low $19.50 Median $26.92 Typical High $39.81 | Facility | None | $19.50 | $26.92 | $39.81 |
Well Sense Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | None | $16.22 | $16.22 | $19.50 |
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 $10.72 Median $10.72 Typical High $31.62 | Professional | 52 · Reduced service | $10.72 | $10.72 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $12.59 | Professional | 53 · Discontinued | $4.27 | $4.27 | $12.59 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 10th of 51
$39.81
AK $53.70KY $19.05
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.