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 $0.03 Median $0.03 Typical High $0.13 | Facility | None | $0.03 | $0.03 | $0.13 |
Aetna Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.13 | Professional | None | $0.03 | $0.03 | $0.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.16 | Facility | None | $0.05 | $0.05 | $0.16 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.02 Median $0.05 Typical High $3.80 | Professional | None | $0.02 | $0.05 | $3.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.15 | Facility | None | $0.05 | $0.05 | $0.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | None | $0.04 | $0.04 | $0.05 |
Cigna Setting Facility Modifier None Typical Low $0.03 Median $0.03 Typical High $0.04 | Facility | None | $0.03 | $0.03 | $0.04 |
Cigna Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | None | $0.03 | $0.03 | $0.04 |
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 $0.02 Median $0.04 Typical High $0.05 | Professional | None | $0.02 | $0.04 | $0.05 |
Health New England Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | None | $0.03 | $0.03 | $0.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.16 | Facility | None | $0.05 | $0.05 | $0.16 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.02 Median $0.05 Typical High $3.80 | Professional | None | $0.02 | $0.05 | $3.80 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $0.05 | Professional | None | $0.02 | $0.03 | $0.05 |
Well Sense Setting Facility Modifier None Typical Low $0.04 Median $0.05 Typical High $0.08 | Facility | None | $0.04 | $0.05 | $0.08 |
Well Sense Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | None | $0.04 | $0.04 | $0.05 |
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 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Where Massachusetts sits
The same service costs 1.7 times more in South Carolina 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· 27th of 51
$0.04
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.