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 $331.13 Median $660.69 Typical High $1,445.44 | Facility | None | $331.13 | $660.69 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,445.44 | Facility | None | $346.74 | $537.03 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $281.84 Median $933.25 Typical High $2,344.23 | Professional | None | $281.84 | $933.25 | $2,344.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,174.90 | Facility | None | $467.74 | $588.84 | $1,174.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $831.76 | Facility | None | $309.03 | $363.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $1,819.70 | Professional | None | $275.42 | $562.34 | $1,819.70 |
Fallon Health Setting Facility Modifier None Typical Low $245.47 Median $794.33 Typical High $5,888.44 | Facility | None | $245.47 | $794.33 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $1,548.82 | Professional | None | $281.84 | $467.74 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,445.44 | Facility | None | $346.74 | $537.03 | $1,445.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $281.84 Median $933.25 Typical High $2,344.23 | Professional | None | $281.84 | $933.25 | $2,344.23 |
United Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $562.34 | Facility | None | $416.87 | $467.74 | $562.34 |
United Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $891.25 | Professional | None | $186.21 | $281.84 | $891.25 |
Well Sense Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $851.14 | Facility | None | $416.87 | $575.44 | $851.14 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $467.74 Median $602.56 Typical High $724.44 | Facility | QW · Waived lab test | $467.74 | $602.56 | $724.44 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 20th of 51
$490
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.