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 $467.74 Median $933.25 Typical High $2,089.30 | Facility | None | $467.74 | $933.25 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $1,000.00 | Facility | None | $501.19 | $602.56 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $2,570.40 | Professional | None | $263.03 | $398.11 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,174.90 | Facility | None | $446.68 | $501.19 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | None | $660.69 | $758.58 | $954.99 |
Fallon Health Setting Facility Modifier None Typical Low $954.99 Median $1,122.02 Typical High $5,888.44 | Facility | None | $954.99 | $1,122.02 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $263.03 Median $660.69 Typical High $1,412.54 | Professional | None | $263.03 | $660.69 | $1,412.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $1,000.00 | Facility | None | $501.19 | $602.56 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $2,570.40 | Professional | None | $263.03 | $398.11 | $2,570.40 |
United Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $794.33 | Facility | None | $602.56 | $660.69 | $794.33 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $1,380.38 | Professional | None | $263.03 | $398.11 | $1,380.38 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,090.30 | $4,897.79 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $660.69 Median $870.96 Typical High $1,023.29 | Facility | QW · Waived lab test | $660.69 | $870.96 | $1,023.29 |
Where Massachusetts sits
The same service costs 114.8 times more in Wisconsin than in Alabama. 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· 14th of 51
$661
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.