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 $144.54 Median $288.40 Typical High $645.65 | Facility | None | $144.54 | $288.40 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $239.88 | Facility | None | $154.88 | $169.82 | $239.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $87.10 Median $812.83 Typical High $1,023.29 | Professional | None | $87.10 | $812.83 | $1,023.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $512.86 | Facility | None | $208.93 | $257.04 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None | $194.98 | $194.98 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $363.08 | Facility | None | $131.83 | $151.36 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $812.83 | Professional | None | $114.82 | $229.09 | $812.83 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $346.74 Typical High $5,888.44 | Facility | None | $109.65 | $346.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | None | $295.12 | $295.12 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $446.68 | Professional | None | $123.03 | $208.93 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $239.88 | Facility | None | $154.88 | $169.82 | $239.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $87.10 Median $812.83 Typical High $1,023.29 | Professional | None | $87.10 | $812.83 | $1,023.29 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $251.19 | Facility | None | $186.21 | $208.93 | $251.19 |
United Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $398.11 | Professional | None | $83.18 | $123.03 | $398.11 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Facility | None | $181.97 | $251.19 | $380.19 |
Well Sense Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $208.93 Median $269.15 Typical High $323.59 | Facility | QW · Waived lab test | $208.93 | $269.15 | $323.59 |
Where Massachusetts sits
The same service costs 4.5 times more in Texas 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
$209
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.