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 $316.23 Median $891.25 Typical High $1,479.11 | Facility | None | $316.23 | $891.25 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $2,344.23 | Facility | None | $588.84 | $851.14 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $275.42 Median $707.95 Typical High $2,041.74 | Professional | None | $275.42 | $707.95 | $2,041.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $467.74 Median $1,584.89 Typical High $2,290.87 | Facility | None | $467.74 | $1,584.89 | $2,290.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $758.58 | Professional | None | $416.87 | $416.87 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $1,288.25 | Facility | None | $363.08 | $630.96 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $954.99 Typical High $3,090.30 | Professional | None | $190.55 | $954.99 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $354.81 Median $1,348.96 Typical High $4,897.79 | Facility | None | $354.81 | $1,348.96 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $275.42 Median $794.33 Typical High $2,754.23 | Professional | None | $275.42 | $794.33 | $2,754.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $2,344.23 | Facility | None | $588.84 | $851.14 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $275.42 Median $707.95 Typical High $2,041.74 | Professional | None | $275.42 | $707.95 | $2,041.74 |
United Setting Facility Modifier None Typical Low $724.44 Median $794.33 Typical High $954.99 | Facility | None | $724.44 | $794.33 | $954.99 |
United Setting Professional Modifier None Typical Low $144.54 Median $457.09 Typical High $1,698.24 | Professional | None | $144.54 | $457.09 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $1,412.54 | Facility | None | $346.74 | $891.25 | $1,412.54 |
Well Sense Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None | $346.74 | $346.74 | $416.87 |
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 $158.49 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $63.10 | $75.86 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $794.33 Median $1,047.13 Typical High $1,230.27 | Facility | QW · Waived lab test | $794.33 | $1,047.13 | $1,230.27 |
Where Massachusetts sits
The same service costs 11.0 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· 13th of 51
$794
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.