How much rates vary
Facilitymedian $324 · 10th to 90th $126 to $550Professionalmedian $178 · 10th to 90th $126 to $355
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 $177.83 Median $177.83 Typical High $549.54 | Facility | None | $177.83 | $177.83 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | None | $144.54 | $177.83 | $177.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $316.23 | Facility | None | $263.03 | $281.84 | $316.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $1,659.59 | Professional | None | $125.89 | $229.09 | $1,659.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $478.63 | Facility | None | $309.03 | $363.08 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
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 $125.89 Median $245.47 Typical High $245.47 | Professional | None | $125.89 | $245.47 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $316.23 | Facility | None | $263.03 | $281.84 | $316.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $1,659.59 | Professional | None | $125.89 | $229.09 | $1,659.59 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $173.78 | Professional | None | $93.33 | $138.04 | $173.78 |
Well Sense Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $194.98 | Facility | None | $95.50 | $131.83 | $194.98 |
Well Sense Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None | $165.96 | $165.96 | $199.53 |
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 $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $21.88 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.45 | $17.78 | $17.78 |
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 3.3 times more in Alaska than in Indiana. 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· 20th of 51
$178
AK $347IN $105
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.