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 $33.11 Median $33.11 Typical High $47.86 | Facility | None | $33.11 | $33.11 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $104.71 Typical High $123.03 | Facility | None | $38.02 | $104.71 | $123.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $426.58 | Professional | None | $31.62 | $45.71 | $426.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $616.60 | Facility | None | $213.80 | $389.05 | $616.60 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None | $44.67 | $44.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $69.18 Typical High $144.54 | Facility | None | $42.66 | $69.18 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None | $33.11 | $33.11 | $41.69 |
Fallon Health Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $3,630.78 | Facility | None | $39.81 | $47.86 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $64.57 | Professional | None | $39.81 | $47.86 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $54.95 | Professional | None | $32.36 | $33.11 | $54.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $104.71 Typical High $123.03 | Facility | None | $38.02 | $104.71 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $426.58 | Professional | None | $31.62 | $45.71 | $426.58 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | None | $32.36 | $32.36 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $66.07 | Facility | None | $30.20 | $41.69 | $66.07 |
Well Sense Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Where Massachusetts sits
The same service costs 3.5 times more in Montana than in North Dakota. 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· 8th of 51
$40.74
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.