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 $53.70 Median $53.70 Typical High $245.47 | Facility | None | $53.70 | $53.70 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $245.47 | Professional | None | $53.70 | $53.70 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $239.88 | Facility | None | $64.57 | $75.86 | $239.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $40.74 Median $75.86 Typical High $537.03 | Professional | None | $40.74 | $75.86 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $138.04 Median $158.49 Typical High $208.93 | Facility | None | $138.04 | $158.49 | $208.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | None | $72.44 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | None | $48.98 | $48.98 | $67.61 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $81.28 | Professional | None | $40.74 | $64.57 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Health New England Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $239.88 | Facility | None | $64.57 | $75.86 | $239.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $40.74 Median $75.86 Typical High $537.03 | Professional | None | $40.74 | $75.86 | $537.03 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $79.43 | Professional | None | $36.31 | $60.26 | $79.43 |
Well Sense Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $158.49 | Facility | None | $79.43 | $107.15 | $158.49 |
Well Sense Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None | $75.86 | $75.86 | $89.13 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier CG · Policy criteria applied Typical Low $95.50 Median $123.03 Typical High $223.87 | Facility | CG · Policy criteria applied | $95.50 | $123.03 | $223.87 |
Where Massachusetts sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 13th of 51
$69.18
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.