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 $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $70.79 | Professional | None | $64.57 | $66.07 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $134.90 | Facility | None | $51.29 | $56.23 | $134.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $407.38 | Professional | None | $60.26 | $123.03 | $407.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $128.82 | Facility | None | $56.23 | $56.23 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $69.18 Typical High $83.18 | Facility | None | $56.23 | $69.18 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $128.82 | Professional | None | $81.28 | $95.50 | $128.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $61.66 Median $120.23 Typical High $181.97 | Professional | None | $61.66 | $120.23 | $181.97 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $134.90 | Facility | None | $51.29 | $56.23 | $134.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $407.38 | Professional | None | $60.26 | $123.03 | $407.38 |
United Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $177.83 | Professional | None | $58.88 | $87.10 | $177.83 |
Well Sense Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $109.65 | Facility | None | $50.12 | $66.07 | $109.65 |
Well Sense Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Professional | None | $46.77 | $50.12 | $63.10 |
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 $33.11 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $33.11 | $33.11 | $34.67 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Alabama. 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
$93.33
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.