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 $208.93 Median $416.87 Typical High $933.25 | Facility | None | $208.93 | $416.87 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $741.31 | Facility | None | $218.78 | $338.84 | $741.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $144.54 Median $457.09 Typical High $1,202.26 | Professional | None | $144.54 | $457.09 | $1,202.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $1,071.52 | Facility | None | $354.81 | $588.84 | $1,071.52 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $512.86 | Facility | None | $190.55 | $234.42 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $933.25 | Professional | None | $144.54 | $288.40 | $933.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $407.38 Typical High $5,888.44 | Facility | None | $83.18 | $407.38 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None | $346.74 | $346.74 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $776.25 | Professional | None | $144.54 | $239.88 | $776.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $741.31 | Facility | None | $218.78 | $338.84 | $741.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $144.54 Median $457.09 Typical High $1,202.26 | Professional | None | $144.54 | $457.09 | $1,202.26 |
United Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $288.40 | Facility | None | $218.78 | $239.88 | $288.40 |
United Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $457.09 | Professional | None | $97.72 | $144.54 | $457.09 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $436.52 | Facility | None | $213.80 | $295.12 | $436.52 |
Well Sense Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None | $223.87 | $223.87 | $269.15 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $239.88 Median $316.23 Typical High $371.54 | Facility | QW · Waived lab test | $239.88 | $316.23 | $371.54 |
Where Massachusetts sits
The same service costs 5.1 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· 12th of 51
$295
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.