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 $199.53 Median $204.17 Typical High $602.56 | Professional | None | $199.53 | $204.17 | $602.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $562.34 Typical High $776.25 | Facility | None | $190.55 | $562.34 | $776.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $234.42 Median $616.60 Typical High $2,818.38 | Professional | None | $234.42 | $616.60 | $2,818.38 |
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 $275.42 Median $275.42 Typical High $645.65 | Professional | None | $275.42 | $275.42 | $645.65 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $380.19 Typical High $5,888.44 | Facility | None | $83.18 | $380.19 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | None | $323.59 | $323.59 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $275.42 Median $501.19 Typical High $691.83 | Professional | None | $275.42 | $501.19 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $562.34 Typical High $776.25 | Facility | None | $190.55 | $562.34 | $776.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $234.42 Median $616.60 Typical High $2,818.38 | Professional | None | $234.42 | $616.60 | $2,818.38 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $851.14 | Professional | None | $251.19 | $380.19 | $851.14 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $3,090.30 Typical High $4,897.79 | Facility | None | $72.44 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
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 $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Where Massachusetts sits
The same service costs 67.6 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
$457
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.