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 $524.81 Median $1,047.13 Typical High $2,344.23 | Facility | None | $524.81 | $1,047.13 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,122.02 | Facility | None | $562.34 | $676.08 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $2,951.21 | Professional | None | $302.00 | $446.68 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $1,584.89 | Facility | None | $512.86 | $588.84 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,148.15 | Professional | None | $870.96 | $912.01 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $5,888.44 | Facility | None | $1,071.52 | $1,258.93 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,071.52 | $1,258.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $363.08 Median $758.58 Typical High $2,137.96 | Professional | None | $363.08 | $758.58 | $2,137.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,122.02 | Facility | None | $562.34 | $676.08 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $2,951.21 | Professional | None | $302.00 | $446.68 | $2,951.21 |
United Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $891.25 | Facility | None | $676.08 | $758.58 | $891.25 |
United Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $1,584.89 | Professional | None | $302.00 | $446.68 | $1,584.89 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $758.58 Median $977.24 Typical High $1,174.90 | Facility | QW · Waived lab test | $758.58 | $977.24 | $1,174.90 |
Where Massachusetts sits
The same service costs 26.9 times more in Alaska 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· 10th of 51
$759
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.