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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $158.49 | Facility | None | $87.10 | $97.72 | $158.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $346.74 | Professional | None | $60.26 | $123.03 | $346.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $89.13 | Facility | None | $58.88 | $67.61 | $89.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | None | $64.57 | $64.57 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $89.13 | Facility | None | $54.95 | $60.26 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $131.83 | Professional | None | $60.26 | $60.26 | $131.83 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $95.50 | Facility | None | $35.48 | $66.07 | $95.50 |
Fallon Health Setting Professional Modifier None Typical Low $35.48 Median $60.26 Typical High $95.50 | Professional | None | $35.48 | $60.26 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $141.25 | Professional | None | $57.54 | $102.33 | $141.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $158.49 | Facility | None | $87.10 | $97.72 | $158.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $346.74 | Professional | None | $60.26 | $123.03 | $346.74 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $147.91 | Professional | None | $60.26 | $83.18 | $147.91 |
Well Sense Setting Facility Modifier None Typical Low $39.81 Median $54.95 Typical High $81.28 | Facility | None | $39.81 | $54.95 | $81.28 |
Well Sense Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Massachusetts sits
The same service costs 2.6 times more in Nebraska 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· 7th of 51
$81.28
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.