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 $56.23 Median $56.23 Typical High $257.04 | Facility | None | $56.23 | $56.23 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $257.04 | Professional | None | $56.23 | $56.23 | $257.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $398.11 | Facility | None | $93.33 | $123.03 | $398.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $42.66 Median $131.83 Typical High $537.03 | Professional | None | $42.66 | $131.83 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $81.28 Median $162.18 Typical High $218.78 | Facility | None | $81.28 | $162.18 | $218.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $27.54 Median $87.10 Typical High $87.10 | Professional | None | $27.54 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
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 $36.31 Median $109.65 Typical High $114.82 | Professional | None | $36.31 | $109.65 | $114.82 |
Health New England Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Health New England Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $398.11 | Facility | None | $93.33 | $123.03 | $398.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $42.66 Median $131.83 Typical High $537.03 | Professional | None | $42.66 | $131.83 | $537.03 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $22.39 Median $60.26 Typical High $123.03 | Professional | None | $22.39 | $60.26 | $123.03 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $199.53 | Facility | None | $100.00 | $131.83 | $199.53 |
Well Sense Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | None | $25.70 | $25.70 | $30.90 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Where Massachusetts sits
The same service costs 2.5 times more in Kansas than in Florida. 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
$91.20
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.