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 $316.23 Median $630.96 Typical High $1,412.54 | Facility | None | $316.23 | $630.96 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $1,380.38 | Facility | None | $331.13 | $512.86 | $1,380.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $269.15 Median $851.14 Typical High $2,238.72 | Professional | None | $269.15 | $851.14 | $2,238.72 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,445.44 | Facility | None | $724.44 | $1,000.00 | $1,445.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | None | $426.58 | $426.58 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $870.96 | Facility | None | $295.12 | $549.54 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $1,737.80 | Professional | None | $263.03 | $478.63 | $1,737.80 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $758.58 Typical High $5,888.44 | Facility | None | $83.18 | $758.58 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | None | $645.65 | $645.65 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $1,148.15 | Professional | None | $269.15 | $446.68 | $1,148.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $1,380.38 | Facility | None | $331.13 | $512.86 | $1,380.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $269.15 Median $851.14 Typical High $2,238.72 | Professional | None | $269.15 | $851.14 | $2,238.72 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $537.03 | Facility | None | $407.38 | $446.68 | $537.03 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $851.14 | Professional | None | $181.97 | $269.15 | $851.14 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $812.83 | Facility | None | $398.11 | $549.54 | $812.83 |
Well Sense Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $446.68 Median $588.84 Typical High $691.83 | Facility | QW · Waived lab test | $446.68 | $588.84 | $691.83 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 20th of 51
$457
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.