How much rates vary
Facilitymedian $162 · 10th to 90th $69 to $275Professionalmedian $100 · 10th to 90th $65 to $234
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 $60.26 Median $60.26 Typical High $147.91 | Facility | None | $60.26 | $60.26 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | None | $60.26 | $60.26 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $100.00 Median $204.17 Typical High $275.42 | Facility | None | $100.00 | $204.17 | $275.42 |
AllWays Health Partners Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $269.15 | Professional | None | $79.43 | $109.65 | $269.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $288.40 | Facility | None | $165.96 | $213.80 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $295.12 | Facility | None | $89.13 | $89.13 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $269.15 | Professional | None | $74.13 | $100.00 | $269.15 |
Fallon Health Setting Facility Modifier None Typical Low $64.57 Median $112.20 Typical High $165.96 | Facility | None | $64.57 | $112.20 | $165.96 |
Fallon Health Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $162.18 | Professional | None | $63.10 | $97.72 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $257.04 | Professional | None | $91.20 | $117.49 | $257.04 |
Health New England Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $323.59 | Facility | None | $131.83 | $199.53 | $323.59 |
Health New England Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $181.97 | Professional | None | $39.81 | $58.88 | $181.97 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $204.17 Typical High $275.42 | Facility | None | $100.00 | $204.17 | $275.42 |
Mass General Brigham Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $269.15 | Professional | None | $79.43 | $109.65 | $269.15 |
Tufts Setting Facility Modifier None Typical Low $54.95 Median $125.89 Typical High $524.81 | Facility | None | $54.95 | $125.89 | $524.81 |
Tufts Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $77.62 | Professional | None | $52.48 | $52.48 | $77.62 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
United Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $151.36 | Professional | None | $83.18 | $97.72 | $151.36 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $158.49 | Facility | None | $75.86 | $104.71 | $158.49 |
Well Sense Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
1 more rate 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 $30.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.90 |
Where Massachusetts sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 17th of 51
$100
AK $200FL $60.26
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.