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 $275.42 Median $549.54 Typical High $1,230.27 | Facility | None | $275.42 | $549.54 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $588.84 | Facility | None | $295.12 | $354.81 | $588.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $1,548.82 | Professional | None | $154.88 | $234.42 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $302.00 Typical High $831.76 | Facility | None | $263.03 | $302.00 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None | $446.68 | $478.63 | $588.84 |
Fallon Health Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $5,888.44 | Facility | None | $562.34 | $660.69 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None | $562.34 | $562.34 | $660.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $1,122.02 | Professional | None | $186.21 | $389.05 | $1,122.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $588.84 | Facility | None | $295.12 | $354.81 | $588.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $1,548.82 | Professional | None | $154.88 | $234.42 | $1,548.82 |
United Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $467.74 | Facility | None | $354.81 | $389.05 | $467.74 |
United Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $812.83 | Professional | None | $154.88 | $234.42 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $4,897.79 | Facility | None | $2,137.96 | $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 $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $389.05 Median $512.86 Typical High $602.56 | Facility | QW · Waived lab test | $389.05 | $512.86 | $602.56 |
Where Massachusetts sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 18th of 51
$389
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.