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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $912.01 | Facility | None | $194.98 | $338.84 | $912.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $169.82 Median $537.03 Typical High $1,412.54 | Professional | None | $169.82 | $537.03 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $263.03 Median $562.34 Typical High $794.33 | Facility | None | $263.03 | $562.34 | $794.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $549.54 | Facility | None | $112.20 | $218.78 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $1,096.48 | Professional | None | $165.96 | $302.00 | $1,096.48 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $467.74 Typical High $5,888.44 | Facility | None | $83.18 | $467.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | None | $398.11 | $398.11 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $117.49 Median $281.84 Typical High $630.96 | Professional | None | $117.49 | $281.84 | $630.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $912.01 | Facility | None | $194.98 | $338.84 | $912.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $169.82 Median $537.03 Typical High $1,412.54 | Professional | None | $169.82 | $537.03 | $1,412.54 |
United Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $338.84 | Facility | None | $251.19 | $281.84 | $338.84 |
United Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $537.03 | Professional | None | $112.20 | $169.82 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $512.86 | Facility | None | $245.47 | $338.84 | $512.86 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $281.84 Median $363.08 Typical High $436.52 | Facility | QW · Waived lab test | $281.84 | $363.08 | $436.52 |
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· 24th of 51
$282
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.