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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | None | $173.78 | $173.78 | $190.55 |
AllWays Health Partners Setting Professional Modifier None Typical Low $213.80 Median $707.95 Typical High $1,174.90 | Professional | None | $213.80 | $707.95 | $1,174.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $676.08 | Facility | None | $446.68 | $512.86 | $676.08 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Fallon Health Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $575.44 | Facility | None | $194.98 | $239.88 | $575.44 |
Fallon Health Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $338.84 | Professional | None | $213.80 | $251.19 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $213.80 Median $416.87 Typical High $549.54 | Professional | None | $213.80 | $416.87 | $549.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $213.80 Median $707.95 Typical High $1,174.90 | Professional | None | $213.80 | $707.95 | $1,174.90 |
United Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $707.95 | Professional | None | $190.55 | $257.04 | $707.95 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $295.12 | Facility | None | $144.54 | $199.53 | $295.12 |
Well Sense Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
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 $87.10 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $87.10 | $93.33 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 6th of 51
$295
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.