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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | None | $43.65 | $43.65 | $46.77 |
AllWays Health Partners Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $275.42 | Professional | None | $51.29 | $114.82 | $275.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $165.96 | Facility | None | $107.15 | $123.03 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $125.89 | Professional | None | $47.86 | $50.12 | $125.89 |
Fallon Health Setting Facility Modifier None Typical Low $27.54 Median $51.29 Typical High $70.79 | Facility | None | $27.54 | $51.29 | $70.79 |
Fallon Health Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $69.18 | Professional | None | $26.30 | $47.86 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $131.83 | Professional | None | $51.29 | $93.33 | $131.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $275.42 | Professional | None | $51.29 | $114.82 | $275.42 |
United Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $173.78 | Professional | None | $50.12 | $63.10 | $173.78 |
Well Sense Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $67.61 | Facility | None | $32.36 | $45.71 | $67.61 |
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 $21.88 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $21.88 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.33 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 15th of 51
$61.66
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.