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 $70.79 Median $70.79 Typical High $102.33 | Facility | None | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $44.67 Median $128.82 Typical High $147.91 | Facility | None | $44.67 | $128.82 | $147.91 |
AllWays Health Partners Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $426.58 | Professional | None | $50.12 | $112.20 | $426.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $309.03 | Facility | None | $107.15 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $309.03 | Facility | None | $91.20 | $151.36 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | None | $70.79 | $70.79 | $89.13 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $3,630.78 | Facility | None | $46.77 | $56.23 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $77.62 | Professional | None | $46.77 | $56.23 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $134.90 | Professional | None | $70.79 | $74.13 | $134.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $44.67 Median $128.82 Typical High $147.91 | Facility | None | $44.67 | $128.82 | $147.91 |
Mass General Brigham Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $426.58 | Professional | None | $50.12 | $112.20 | $426.58 |
United Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $134.90 | Professional | None | $70.79 | $79.43 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $60.26 | Facility | None | $30.20 | $42.66 | $60.26 |
Well Sense Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $36.31 | Professional | None | $30.20 | $36.31 | $36.31 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Where Massachusetts sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 16th of 51
$79.43
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.