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 $181.97 Median $363.08 Typical High $812.83 | Facility | None | $181.97 | $363.08 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $109.65 Median $891.25 Typical High $1,288.25 | Professional | None (both parts) | $109.65 | $891.25 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $204.17 Typical High $549.54 | Facility | None | $177.83 | $204.17 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $316.23 | $316.23 | $398.11 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $436.52 Typical High $5,888.44 | Facility | None | $83.18 | $436.52 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $371.54 | $371.54 | $436.52 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $588.84 | Professional | None (both parts) | $154.88 | $263.03 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $109.65 Median $891.25 Typical High $1,288.25 | Professional | None (both parts) | $109.65 | $891.25 | $1,288.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $501.19 | Professional | None (both parts) | $104.71 | $154.88 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,467.37 | $5,128.61 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $263.03 Median $338.84 Typical High $407.38 | Facility | QW · Waived lab test | $263.03 | $338.84 | $407.38 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska than in Ohio. 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· 21st of 51
$263
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.