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 $67.61 Median $67.61 Typical High $446.68 | Facility | None | $67.61 | $67.61 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $181.97 Median $851.14 Typical High $851.14 | Professional | None | $181.97 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | None | $66.07 | $66.07 | $91.20 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $302.00 Typical High $794.33 | Facility | None | $109.65 | $302.00 | $794.33 |
Fallon Health Setting Professional Modifier None Typical Low $109.65 Median $309.03 Typical High $446.68 | Professional | None | $109.65 | $309.03 | $446.68 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $117.49 Median $257.04 Typical High $588.84 | Professional | None | $117.49 | $257.04 | $588.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $181.97 Median $851.14 Typical High $851.14 | Professional | None | $181.97 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $616.60 | Professional | None | $117.49 | $239.88 | $616.60 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $257.04 | Facility | None | $151.36 | $199.53 | $257.04 |
Well Sense Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
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 $33.88 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $13.49 | $16.22 |
Where Massachusetts sits
The same service costs 4.9 times more in Nebraska 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· 3rd of 51
$263
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.