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 $64.57 Median $131.83 Typical High $288.40 | Facility | None | $64.57 | $131.83 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $1,122.02 | Facility | None | $239.88 | $323.59 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $97.72 Median $707.95 Typical High $1,862.09 | Professional | None | $97.72 | $707.95 | $1,862.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,202.26 | Facility | None | $602.56 | $831.76 | $1,202.26 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $295.12 Typical High $724.44 | Facility | None | $79.43 | $295.12 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $1,445.44 | Professional | None | $204.17 | $398.11 | $1,445.44 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $630.96 Typical High $5,888.44 | Facility | None | $83.18 | $630.96 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | None | $537.03 | $537.03 | $630.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $128.82 Median $371.54 Typical High $812.83 | Professional | None | $128.82 | $371.54 | $812.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $1,122.02 | Facility | None | $239.88 | $323.59 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $97.72 Median $707.95 Typical High $1,862.09 | Professional | None | $97.72 | $707.95 | $1,862.09 |
United Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $446.68 | Facility | None | $338.84 | $371.54 | $446.68 |
United Setting Professional Modifier None Typical Low $56.23 Median $223.87 Typical High $707.95 | Professional | None | $56.23 | $223.87 | $707.95 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $676.08 | Facility | None | $331.13 | $457.09 | $676.08 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None | $70.79 | $70.79 | $85.11 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $371.54 Median $489.78 Typical High $575.44 | Facility | QW · Waived lab test | $371.54 | $489.78 | $575.44 |
Where Massachusetts sits
The same service costs 10.2 times more in Texas than in North Carolina. 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· 15th of 51
$372
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.