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 $19.95 | Professional | None | $17.38 | $17.38 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $131.83 | Facility | None | $41.69 | $43.65 | $131.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.60 Median $43.65 Typical High $63.10 | Professional | None | $16.60 | $43.65 | $63.10 |
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 $25.70 Median $25.70 Typical High $35.48 | Professional | None | $25.70 | $25.70 | $35.48 |
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 $21.38 Median $38.90 Typical High $83.18 | Professional | None | $21.38 | $38.90 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $131.83 | Facility | None | $41.69 | $43.65 | $131.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.60 Median $43.65 Typical High $63.10 | Professional | None | $16.60 | $43.65 | $63.10 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $14.45 Median $38.02 Typical High $93.33 | Professional | None | $14.45 | $38.02 | $93.33 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $70.79 | Facility | None | $30.20 | $41.69 | $70.79 |
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 7.1 times more in North Dakota than in Ohio. 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· 10th of 51
$43.65
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.