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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $141.25 Median $380.19 Typical High $831.76 | Professional | None | $141.25 | $380.19 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $41.69 | Facility | None | $26.92 | $30.90 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $52.48 | Facility | None | $20.89 | $32.36 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $407.38 | Professional | None | $151.36 | $158.49 | $407.38 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $208.93 | Facility | None | $83.18 | $147.91 | $208.93 |
Fallon Health Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $204.17 | Professional | None | $83.18 | $141.25 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $389.05 | Professional | None | $141.25 | $269.15 | $389.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $141.25 Median $380.19 Typical High $831.76 | Professional | None | $141.25 | $380.19 | $831.76 |
United Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $512.86 | Professional | None | $138.04 | $181.97 | $512.86 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $208.93 | Facility | None | $102.33 | $141.25 | $208.93 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Massachusetts sits
The same service costs 21.4 times more in Alaska than in New York. 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· 14th of 51
$182
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.