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 $11.75 Median $11.75 Typical High $53.70 | Facility | None | $11.75 | $11.75 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $28.84 Typical High $75.86 | Professional | None | $11.75 | $28.84 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.02 Median $28.84 Typical High $35.48 | Facility | None | $12.02 | $28.84 | $35.48 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.80 Median $61.66 Typical High $323.59 | Professional | None | $13.80 | $61.66 | $323.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.02 Median $29.51 Typical High $40.74 | Facility | None | $12.02 | $29.51 | $40.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $61.66 Typical High $102.33 | Professional | None | $12.02 | $61.66 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $117.49 | Professional | None | $14.45 | $58.88 | $117.49 |
Fallon Health Setting Facility Modifier None Typical Low $6.92 Median $13.18 Typical High $20.89 | Facility | None | $6.92 | $13.18 | $20.89 |
Fallon Health Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $89.13 | Professional | None | $34.67 | $58.88 | $89.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.18 Median $48.98 Typical High $144.54 | Professional | None | $13.18 | $48.98 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $22.39 Median $128.82 Typical High $1,202.26 | Facility | None | $22.39 | $128.82 | $1,202.26 |
Health New England Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $93.33 | Professional | None | $25.12 | $25.12 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.02 Median $28.84 Typical High $35.48 | Facility | None | $12.02 | $28.84 | $35.48 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.80 Median $61.66 Typical High $323.59 | Professional | None | $13.80 | $61.66 | $323.59 |
Tufts Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $13.80 Median $48.98 Typical High $144.54 | Professional | None | $13.80 | $48.98 | $144.54 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $67.61 | Facility | None | $10.72 | $20.89 | $67.61 |
Well Sense Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $41.69 | Professional | None | $8.32 | $11.22 | $41.69 |
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 53 · Discontinued Typical Low $2.34 Median $3.39 Typical High $10.72 | Professional | 53 · Discontinued | $2.34 | $3.39 | $10.72 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $5.13 Typical High $6.92 | Professional | 53 · Discontinued | $3.02 | $5.13 | $6.92 |
Where Massachusetts sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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
$51.29
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.