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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None | $20.89 | $20.89 | $26.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $316.23 | Facility | None | $58.88 | $87.10 | $316.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $21.88 Median $53.70 Typical High $120.23 | Professional | None | $21.88 | $53.70 | $120.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $288.40 | Facility | None | $169.82 | $213.80 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | None | $26.92 | $26.92 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $316.23 | Facility | None | $190.55 | $208.93 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $58.88 | Professional | None | $24.55 | $27.54 | $58.88 |
Fallon Health Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $51.29 | Facility | None | $14.79 | $27.54 | $51.29 |
Fallon Health Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $39.81 | Professional | None | $14.79 | $25.12 | $39.81 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.99 Median $42.66 Typical High $61.66 | Professional | None | $23.99 | $42.66 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $316.23 | Facility | None | $58.88 | $87.10 | $316.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $21.88 Median $53.70 Typical High $120.23 | Professional | None | $21.88 | $53.70 | $120.23 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $63.10 | Professional | None | $19.05 | $28.84 | $63.10 |
Well Sense Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $30.90 | Facility | None | $15.14 | $20.89 | $30.90 |
Well Sense Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | None | $15.14 | $15.14 | $20.42 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Where Massachusetts sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 12th of 51
$28.84
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.