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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | None | $41.69 | $41.69 | $44.67 |
AllWays Health Partners Setting Professional Modifier None Typical Low $48.98 Median $109.65 Typical High $263.03 | Professional | None | $48.98 | $109.65 | $263.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $154.88 | Facility | None | $102.33 | $117.49 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $120.23 | Professional | None | $46.77 | $48.98 | $120.23 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $66.07 | Facility | None | $25.70 | $47.86 | $66.07 |
Fallon Health Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $64.57 | Professional | None | $25.12 | $44.67 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $123.03 | Professional | None | $47.86 | $87.10 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $48.98 Median $109.65 Typical High $263.03 | Professional | None | $48.98 | $109.65 | $263.03 |
United Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $165.96 | Professional | None | $46.77 | $60.26 | $165.96 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Facility | None | $30.90 | $42.66 | $63.10 |
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 $20.42 Median $20.42 Typical High $22.39 | Professional | 52 · Reduced service | $20.42 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.91 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.91 |
Where Massachusetts sits
The same service costs 6.0 times more in Alaska than in Ohio. 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
$58.88
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.