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 $32.36 Median $32.36 Typical High $42.66 | Facility | None | $32.36 | $32.36 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $64.57 | Professional | None | $32.36 | $42.66 | $64.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $85.11 | Facility | None | $26.92 | $30.90 | $85.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $251.19 | Professional | None | $34.67 | $69.18 | $251.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.84 Median $35.48 Typical High $66.07 | Facility | None | $28.84 | $35.48 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $77.62 | Professional | None | $28.84 | $47.86 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $87.10 | Professional | None | $33.11 | $45.71 | $87.10 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $29.51 Typical High $42.66 | Facility | None | $16.60 | $29.51 | $42.66 |
Fallon Health Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $70.79 | Professional | None | $27.54 | $46.77 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $31.62 Median $63.10 Typical High $114.82 | Professional | None | $31.62 | $63.10 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $85.11 | Facility | None | $26.92 | $30.90 | $85.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $251.19 | Professional | None | $34.67 | $69.18 | $251.19 |
Tufts Setting Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $87.10 | Professional | None | $29.51 | $51.29 | $87.10 |
United Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $107.15 | Professional | None | $34.67 | $51.29 | $107.15 |
Well Sense Setting Facility Modifier None Typical Low $25.12 Median $34.67 Typical High $51.29 | Facility | None | $25.12 | $34.67 | $51.29 |
Well Sense Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $39.81 | Professional | None | $25.12 | $33.11 | $39.81 |
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 $16.22 Median $16.98 Typical High $21.38 | Professional | 52 · Reduced service | $16.22 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $6.76 | $8.51 |
Where Massachusetts sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 10th of 51
$50.12
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.