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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $60.26 Median $141.25 Typical High $173.78 | Facility | None | $60.26 | $141.25 | $173.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $60.26 Median $138.04 Typical High $389.05 | Professional | None | $60.26 | $138.04 | $389.05 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $223.87 | Facility | None | $144.54 | $169.82 | $223.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $154.88 | Professional | None | $58.88 | $100.00 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $165.96 | Professional | None | $61.66 | $69.18 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $33.88 Median $64.57 Typical High $87.10 | Facility | None | $33.88 | $64.57 | $87.10 |
Fallon Health Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $87.10 | Professional | None | $33.11 | $57.54 | $87.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $173.78 | Professional | None | $63.10 | $97.72 | $173.78 |
Health New England Setting Facility Modifier None Typical Low $77.62 Median $331.13 Typical High $794.33 | Facility | None | $77.62 | $331.13 | $794.33 |
Health New England Setting Professional Modifier None Typical Low $109.65 Median $954.99 Typical High $954.99 | Professional | None | $109.65 | $954.99 | $954.99 |
Mass General Brigham Setting Facility Modifier None Typical Low $60.26 Median $141.25 Typical High $173.78 | Facility | None | $60.26 | $141.25 | $173.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $60.26 Median $138.04 Typical High $389.05 | Professional | None | $60.26 | $138.04 | $389.05 |
United Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $234.42 | Professional | None | $63.10 | $85.11 | $234.42 |
Well Sense Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $93.33 | Facility | None | $45.71 | $63.10 | $93.33 |
Well Sense Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | None | $38.90 | $38.90 | $46.77 |
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 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $10.96 | $12.30 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska than in New York. 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
$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.