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 $0.02 Median $0.02 Typical High $0.05 | Facility | None | $0.02 | $0.02 | $0.05 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.72 | Facility | None | $0.02 | $0.02 | $0.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $33.88 | Professional | None | $0.02 | $0.03 | $33.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $0.04 | Professional | None | $0.02 | $0.03 | $0.04 |
Cigna Setting Facility Modifier None Typical Low $0.03 Median $0.04 Typical High $0.09 | Facility | None | $0.03 | $0.04 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
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 |
Fallon Health Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.56 | Professional | None | $0.48 | $0.48 | $0.56 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.02 Median $0.28 Typical High $0.28 | Professional | None | $0.02 | $0.28 | $0.28 |
Health New England Setting Facility Modifier None Typical Low $0.03 Median $0.39 Typical High $0.81 | Facility | None | $0.03 | $0.39 | $0.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.72 | Facility | None | $0.02 | $0.02 | $0.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $33.88 | Professional | None | $0.02 | $0.03 | $33.88 |
Tufts Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Well Sense Setting Facility Modifier None Typical Low $0.03 Median $0.03 Typical High $0.04 | Facility | None | $0.03 | $0.03 | $0.04 |
Well Sense Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Professional | None | $0.02 | $0.02 | $0.03 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 52 · Reduced service | $0.02 | $0.02 | $0.02 |
Where Massachusetts sits
The same service costs 26.3 times more in Montana than in Virginia. 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· 7th of 51
$0.02
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.