How much rates vary
Facilitymedian $112 · 10th to 90th $71 to $200Professionalmedian $191 · 10th to 90th $79 to $759
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 $75.86 Median $75.86 Typical High $204.17 | Facility | None | $75.86 | $75.86 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $204.17 | Professional | None | $75.86 | $75.86 | $204.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $45.71 Median $104.71 Typical High $346.74 | Facility | None | $45.71 | $104.71 | $346.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $95.50 Median $323.59 Typical High $758.58 | Professional | None | $95.50 | $323.59 | $758.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $134.90 | Facility | None | $87.10 | $100.00 | $134.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $323.59 | Professional | None | $141.25 | $229.09 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $109.65 Typical High $190.55 | Facility | None | $50.12 | $109.65 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $371.54 | Professional | None | $123.03 | $147.91 | $371.54 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $138.04 Typical High $194.98 | Facility | None | $79.43 | $138.04 | $194.98 |
Fallon Health Setting Professional Modifier None Typical Low $79.43 Median $134.90 Typical High $194.98 | Professional | None | $79.43 | $134.90 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $363.08 | Professional | None | $117.49 | $251.19 | $363.08 |
Health New England Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Health New England Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | None | $190.55 | $190.55 | $194.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $45.71 Median $104.71 Typical High $346.74 | Facility | None | $45.71 | $104.71 | $346.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $95.50 Median $323.59 Typical High $758.58 | Professional | None | $95.50 | $323.59 | $758.58 |
Tufts Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $426.58 | Facility | None | $70.79 | $100.00 | $426.58 |
Tufts Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $234.42 | Professional | None | $74.13 | $128.82 | $234.42 |
United Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $234.42 | Facility | None | $83.18 | $154.88 | $234.42 |
United Setting Professional Modifier None Typical Low $51.29 Median $169.82 Typical High $478.63 | Professional | None | $51.29 | $169.82 | $478.63 |
Well Sense Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $194.98 | Facility | None | $95.50 | $131.83 | $194.98 |
Well Sense Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | None | $52.48 | $52.48 | $63.10 |
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 $37.15 Median $37.15 Typical High $102.33 | Professional | 52 · Reduced service | $37.15 | $37.15 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $40.74 | Professional | 53 · Discontinued | $15.14 | $15.14 | $40.74 |
Where Massachusetts sits
The same service costs 4.2 times more in Alaska than in Alabama. 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
$174
AK $263AL $63.10
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.