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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None | $181.97 | $181.97 | $208.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $223.87 Median $776.25 Typical High $1,288.25 | Professional | None | $223.87 | $776.25 | $1,288.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $724.44 | Facility | None | $467.74 | $549.54 | $724.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $467.74 | Professional | None | $204.17 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $204.17 Median $251.19 Typical High $602.56 | Facility | None | $204.17 | $251.19 | $602.56 |
Fallon Health Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $354.81 | Professional | None | $223.87 | $263.03 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $223.87 Median $436.52 Typical High $575.44 | Professional | None | $223.87 | $436.52 | $575.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $223.87 Median $776.25 Typical High $1,288.25 | Professional | None | $223.87 | $776.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $776.25 | Professional | None | $204.17 | $275.42 | $776.25 |
Well Sense Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $302.00 | Facility | None | $147.91 | $204.17 | $302.00 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None | $134.90 | $134.90 | $181.97 |
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 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $91.20 | $97.72 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska than in New York. 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· 7th of 51
$309
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.