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 Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $1,122.02 | Professional | None | $398.11 | $407.38 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $380.19 Median $1,148.15 Typical High $1,548.82 | Facility | None | $380.19 | $1,148.15 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier None Typical Low $467.74 Median $1,230.27 Typical High $5,623.41 | Professional | None | $467.74 | $1,230.27 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $302.00 | Facility | None | $50.12 | $50.12 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,288.25 | Professional | None | $549.54 | $549.54 | $1,288.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $758.58 Typical High $5,888.44 | Facility | None | $83.18 | $758.58 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | None | $645.65 | $645.65 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,380.38 | Professional | None | $549.54 | $1,000.00 | $1,380.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $380.19 Median $1,148.15 Typical High $1,548.82 | Facility | None | $380.19 | $1,148.15 | $1,548.82 |
Mass General Brigham Setting Professional Modifier None Typical Low $467.74 Median $1,230.27 Typical High $5,623.41 | Professional | None | $467.74 | $1,230.27 | $5,623.41 |
United Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,698.24 | Professional | None | $501.19 | $758.58 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $47.86 Median $3,090.30 Typical High $4,897.79 | Facility | None | $47.86 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None | $302.00 | $302.00 | $363.08 |
3 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 Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Where Massachusetts sits
The same service costs 70.8 times more in Alaska 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· 5th of 51
$912
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.