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 $17.38 Median $17.38 Typical High $91.20 | Facility | None | $17.38 | $17.38 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | None | $17.38 | $17.38 | $19.05 |
AllWays Health Partners Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $109.65 | Facility | None | $35.48 | $37.15 | $109.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.80 Median $37.15 Typical High $58.88 | Professional | None | $13.80 | $37.15 | $58.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $85.11 | Facility | None | $54.95 | $63.10 | $85.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $35.48 | Professional | None | $33.88 | $33.88 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | None | $18.62 | $18.62 | $25.70 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $8,511.38 | Facility | None | $60.26 | $100.00 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.05 Median $32.36 Typical High $69.18 | Professional | None | $19.05 | $32.36 | $69.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $109.65 | Facility | None | $35.48 | $37.15 | $109.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.80 Median $37.15 Typical High $58.88 | Professional | None | $13.80 | $37.15 | $58.88 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $12.59 Median $36.31 Typical High $77.62 | Professional | None | $12.59 | $36.31 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $25.12 Median $34.67 Typical High $58.88 | Facility | None | $25.12 | $34.67 | $58.88 |
Well Sense Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $35.48 | Professional | None | $28.84 | $29.51 | $35.48 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier UC · State-defined Typical Low $144.54 Median $181.97 Typical High $338.84 | Facility | UC · State-defined | $144.54 | $181.97 | $338.84 |
Where Massachusetts sits
The same service costs 2.5 times more in Iowa 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· 9th of 51
$37.15
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.