How much rates vary
Facilitymedian $275 · 10th to 90th $102 to $457Professionalmedian $145 · 10th to 90th $102 to $288
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 $144.54 Median $144.54 Typical High $457.09 | Facility | None | $144.54 | $144.54 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $147.91 | Professional | None | $128.82 | $144.54 | $147.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $213.80 Median $229.09 Typical High $257.04 | Facility | None | $213.80 | $229.09 | $257.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $1,412.54 | Professional | None | $109.65 | $186.21 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $389.05 | Facility | None | $251.19 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $109.65 Median $199.53 Typical High $199.53 | Professional | None | $109.65 | $199.53 | $199.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $213.80 Median $229.09 Typical High $257.04 | Facility | None | $213.80 | $229.09 | $257.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $1,412.54 | Professional | None | $109.65 | $186.21 | $1,412.54 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $151.36 | Professional | None | $75.86 | $112.20 | $151.36 |
Well Sense Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $162.18 | Facility | None | $77.62 | $107.15 | $162.18 |
Well Sense Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | None | $138.04 | $138.04 | $162.18 |
7 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 $72.44 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $14.79 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Massachusetts sits
The same service costs 2.8 times more in Minnesota 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· 35th of 51
$145
MN $295UT $107
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.