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 $489.78 Median $1,000.00 Typical High $2,187.76 | Facility | None | $489.78 | $1,000.00 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $2,089.30 | Facility | None | $524.81 | $812.83 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $407.38 Median $1,288.25 Typical High $3,388.44 | Professional | None | $407.38 | $1,288.25 | $3,388.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $831.76 Median $1,412.54 Typical High $2,511.89 | Facility | None | $831.76 | $1,412.54 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $1,380.38 | Facility | None | $457.09 | $562.34 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $2,630.27 | Professional | None | $398.11 | $812.83 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,148.15 Typical High $5,888.44 | Facility | None | $83.18 | $1,148.15 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None | $977.24 | $977.24 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,949.84 | Professional | None | $407.38 | $676.08 | $1,949.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $2,089.30 | Facility | None | $524.81 | $812.83 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $407.38 Median $1,288.25 Typical High $3,388.44 | Professional | None | $407.38 | $1,288.25 | $3,388.44 |
United Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $812.83 | Facility | None | $602.56 | $676.08 | $812.83 |
United Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $1,288.25 | Professional | None | $269.15 | $407.38 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,230.27 | Facility | None | $602.56 | $831.76 | $1,230.27 |
Well Sense Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | None | $524.81 | $524.81 | $630.96 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $676.08 Median $870.96 Typical High $1,047.13 | Facility | QW · Waived lab test | $676.08 | $870.96 | $1,047.13 |
Where Massachusetts sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 17th of 51
$741
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.