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 $24.55 Median $24.55 Typical High $81.28 | Facility | None | $24.55 | $24.55 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $81.28 | Professional | None | $24.55 | $24.55 | $81.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.79 Median $66.07 Typical High $69.18 | Facility | None | $14.79 | $66.07 | $69.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.78 Median $69.18 Typical High $269.15 | Professional | None | $17.78 | $69.18 | $269.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $109.65 | Facility | None | $53.70 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
Fallon Health Setting Facility Modifier None Typical Low $27.54 Median $33.88 Typical High $83.18 | Facility | None | $27.54 | $33.88 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $48.98 | Professional | None | $30.90 | $36.31 | $48.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $61.66 | Professional | None | $17.78 | $29.51 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.79 Median $66.07 Typical High $69.18 | Facility | None | $14.79 | $66.07 | $69.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.78 Median $69.18 Typical High $269.15 | Professional | None | $17.78 | $69.18 | $269.15 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $26.30 | Facility | None | $23.99 | $23.99 | $26.30 |
United Setting Professional Modifier None Typical Low $15.14 Median $27.54 Typical High $70.79 | Professional | None | $15.14 | $27.54 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $22.39 | Facility | None | $10.96 | $15.14 | $22.39 |
Well Sense Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | None | $10.72 | $10.72 | $12.88 |
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 $12.30 Median $12.30 Typical High $40.74 | Professional | 52 · Reduced service | $12.30 | $12.30 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $16.22 | Professional | 53 · Discontinued | $4.90 | $4.90 | $16.22 |
Where Massachusetts sits
The same service costs 5.2 times more in Texas 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· 12th of 51
$33.88
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.