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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $218.78 Median $562.34 Typical High $691.83 | Facility | None | $218.78 | $562.34 | $691.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $120.23 Median $380.19 Typical High $1,000.00 | Professional | None | $120.23 | $380.19 | $1,000.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $162.18 Median $398.11 Typical High $575.44 | Facility | None | $162.18 | $398.11 | $575.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | None | $154.88 | $154.88 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $426.58 | Facility | None | $128.82 | $316.23 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $776.25 | Professional | None | $120.23 | $213.80 | $776.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $5,888.44 | Facility | None | $83.18 | $338.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | None | $288.40 | $288.40 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $457.09 | Professional | None | $120.23 | $199.53 | $457.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $218.78 Median $562.34 Typical High $691.83 | Facility | None | $218.78 | $562.34 | $691.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $120.23 Median $380.19 Typical High $1,000.00 | Professional | None | $120.23 | $380.19 | $1,000.00 |
United Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $239.88 | Facility | None | $181.97 | $199.53 | $239.88 |
United Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $380.19 | Professional | None | $79.43 | $120.23 | $380.19 |
Well Sense Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $363.08 | Facility | None | $177.83 | $245.47 | $363.08 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $199.53 Median $257.04 Typical High $309.03 | Facility | QW · Waived lab test | $199.53 | $257.04 | $309.03 |
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· 8th of 51
$288
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.