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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $56.23 Median $229.09 Typical High $501.19 | Professional | None | $56.23 | $229.09 | $501.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $169.82 | Facility | None | $109.65 | $128.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $245.47 | Professional | None | $87.10 | $97.72 | $245.47 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $91.20 Typical High $128.82 | Facility | None | $52.48 | $91.20 | $128.82 |
Fallon Health Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $128.82 | Professional | None | $52.48 | $89.13 | $128.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $239.88 | Professional | None | $69.18 | $169.82 | $239.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $56.23 Median $229.09 Typical High $501.19 | Professional | None | $56.23 | $229.09 | $501.19 |
United Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $251.19 | Professional | None | $46.77 | $89.13 | $251.19 |
Well Sense Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $128.82 | Facility | None | $63.10 | $87.10 | $128.82 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Massachusetts sits
The same service costs 6.6 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· 14th of 51
$105
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.