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 $0.72 Median $0.72 Typical High $0.81 | Facility | None | $0.72 | $0.72 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | None | $0.72 | $0.72 | $0.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.09 Median $5.25 Typical High $8.71 | Facility | None | $2.09 | $5.25 | $8.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.72 Median $0.85 Typical High $2.75 | Professional | None | $0.72 | $0.85 | $2.75 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.76 Median $0.87 Typical High $1.58 | Facility | None | $0.76 | $0.87 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $0.98 Median $1.58 Typical High $3.24 | Facility | None | $0.98 | $1.58 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.93 | Professional | None | $0.76 | $0.76 | $0.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.76 Median $0.85 Typical High $1.45 | Professional | None | $0.76 | $0.85 | $1.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.09 Median $5.25 Typical High $8.71 | Facility | None | $2.09 | $5.25 | $8.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.72 Median $0.85 Typical High $2.75 | Professional | None | $0.72 | $0.85 | $2.75 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.85 Typical High $1.45 | Professional | None | $0.72 | $0.85 | $1.45 |
2 more rates 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 $0.37 Median $0.37 Typical High $0.37 | Professional | 52 · Reduced service | $0.37 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.15 | $0.15 | $0.15 |
Where Massachusetts sits
The same service costs 1.6 times more in Massachusetts than in Colorado. 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· 1st of 51
$0.85
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.