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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | None | $173.78 | $173.78 | $181.97 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $891.25 | Facility | None | $263.03 | $275.42 | $891.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $1,445.44 | Professional | None | $144.54 | $281.84 | $1,445.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $512.86 | Facility | None | $302.00 | $380.19 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | None | $234.42 | $234.42 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | None | $162.18 | $162.18 | $223.87 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $107.15 Median $239.88 Typical High $269.15 | Professional | None | $107.15 | $239.88 | $269.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $891.25 | Facility | None | $263.03 | $275.42 | $891.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $1,445.44 | Professional | None | $144.54 | $281.84 | $1,445.44 |
United Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $269.15 | Professional | None | $95.50 | $144.54 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,467.37 | $5,128.61 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier KF · Class III device Typical Low $263.03 Median $275.42 Typical High $295.12 | Professional | KF · Class III device | $263.03 | $275.42 | $295.12 |
Mass General Brigham Setting Professional Modifier KF · Class III device Typical Low $263.03 Median $275.42 Typical High $295.12 | Professional | KF · Class III device | $263.03 | $275.42 | $295.12 |
Well Sense Setting Facility Modifier KF · Class III device Typical Low $269.15 Median $338.84 Typical High $630.96 | Facility | KF · Class III device | $269.15 | $338.84 | $630.96 |
Where Massachusetts sits
The same service costs 2.1 times more in Montana than in Hawaii. 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
$240
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.