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 $42.66 Median $42.66 Typical High $194.98 | Facility | None | $42.66 | $42.66 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $194.98 | Professional | None | $42.66 | $42.66 | $194.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $204.17 | Facility | None | $54.95 | $64.57 | $204.17 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $426.58 | Professional | None | $33.11 | $64.57 | $426.58 |
BCBS Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $169.82 | Facility | None | $109.65 | $128.82 | $169.82 |
BCBS Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | None | $57.54 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None | $41.69 | $41.69 | $58.88 |
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 $33.11 Median $54.95 Typical High $70.79 | Professional | None | $33.11 | $54.95 | $70.79 |
Health New England Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $204.17 | Facility | None | $54.95 | $64.57 | $204.17 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $426.58 | Professional | None | $33.11 | $64.57 | $426.58 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $66.07 | Professional | None | $30.90 | $48.98 | $66.07 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $128.82 | Facility | None | $64.57 | $87.10 | $128.82 |
Well Sense Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None | $60.26 | $60.26 | $72.44 |
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 $77.62 Median $97.72 Typical High $181.97 | Facility | CG · Policy criteria applied | $77.62 | $97.72 | $181.97 |
Where Massachusetts sits
The same service costs 3.2 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· 15th of 51
$57.54
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.