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 $537.03 Median $1,071.52 Typical High $2,398.83 | Facility | None | $537.03 | $1,071.52 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $1,148.15 | Facility | None | $575.44 | $691.83 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $3,019.95 | Professional | None | $309.03 | $467.74 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $549.54 Typical High $1,230.27 | Facility | None | $512.86 | $549.54 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,174.90 | Professional | None | $891.25 | $933.25 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $5,888.44 | Facility | None | $1,096.48 | $1,288.25 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $2,238.72 | Professional | None | $371.54 | $776.25 | $2,238.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $1,148.15 | Facility | None | $575.44 | $691.83 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $3,019.95 | Professional | None | $309.03 | $467.74 | $3,019.95 |
United Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $933.25 | Facility | None | $691.83 | $776.25 | $933.25 |
United Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $1,621.81 | Professional | None | $309.03 | $467.74 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,786.30 | Facility | None | $2,511.89 | $2,511.89 | $4,786.30 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
3 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 $269.15 Median $269.15 Typical High $288.40 | Professional | 52 · Reduced service | $269.15 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $114.82 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $776.25 Median $1,000.00 Typical High $1,202.26 | Facility | QW · Waived lab test | $776.25 | $1,000.00 | $1,202.26 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in New Mexico. 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
$776
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.