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 $0.08 Median $0.09 Typical High $9.55 | Facility | None | $0.08 | $0.09 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.12 | Professional | None | $0.09 | $0.09 | $0.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $0.12 Median $0.23 Typical High $0.28 | Facility | None | $0.12 | $0.23 | $0.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.22 | Professional | None | $0.09 | $0.09 | $0.22 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.09 Median $0.10 Typical High $0.19 | Facility | None | $0.09 | $0.10 | $0.19 |
Cigna Setting Facility Modifier None Typical Low $0.12 Median $0.19 Typical High $0.39 | Facility | None | $0.12 | $0.19 | $0.39 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.11 | Professional | None | $0.09 | $0.09 | $0.11 |
Fallon Health Setting Facility Modifier None Typical Low $0.09 Median $0.12 Typical High $0.14 | Facility | None | $0.09 | $0.12 | $0.14 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.22 | Professional | None | $0.09 | $0.09 | $0.22 |
Health New England Setting Facility Modifier None Typical Low $2.40 Median $3.98 Typical High $8.32 | Facility | None | $2.40 | $3.98 | $8.32 |
Mass General Brigham Setting Facility Modifier None Typical Low $0.12 Median $0.23 Typical High $0.28 | Facility | None | $0.12 | $0.23 | $0.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.22 | Professional | None | $0.09 | $0.09 | $0.22 |
Tufts Setting Facility Modifier None Typical Low $0.13 Median $0.13 Typical High $0.14 | Facility | None | $0.13 | $0.13 | $0.14 |
United Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.22 | Professional | None | $0.09 | $0.09 | $0.22 |
Well Sense Setting Facility Modifier None Typical Low $0.09 Median $0.12 Typical High $0.20 | Facility | None | $0.09 | $0.12 | $0.20 |
Well Sense Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.11 | Professional | None | $0.09 | $0.09 | $0.11 |
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 $0.05 Median $0.05 Typical High $0.05 | Professional | 52 · Reduced service | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Where Massachusetts sits
The same service costs 14.5 times more in Alaska than in New Jersey. 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· 16th of 51
$0.11
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.