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 $199.53 Median $398.11 Typical High $891.25 | Facility | None | $199.53 | $398.11 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $870.96 | Facility | None | $208.93 | $323.59 | $870.96 |
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 $281.84 Median $354.81 Typical High $707.95 | Facility | None | $281.84 | $354.81 | $707.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | None | $263.03 | $263.03 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $501.19 | Facility | None | $186.21 | $218.78 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $1,096.48 | Professional | None | $165.96 | $338.84 | $1,096.48 |
Fallon Health Setting Facility Modifier None Typical Low $147.91 Median $478.63 Typical High $5,888.44 | Facility | None | $147.91 | $478.63 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $741.31 | Professional | None | $169.82 | $281.84 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $870.96 | Facility | None | $208.93 | $323.59 | $870.96 |
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 $257.04 Median $281.84 Typical High $338.84 | Facility | None | $257.04 | $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 $251.19 Median $346.74 Typical High $512.86 | Facility | None | $251.19 | $346.74 | $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 $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $281.84 Median $371.54 Typical High $436.52 | Facility | QW · Waived lab test | $281.84 | $371.54 | $436.52 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska 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· 19th 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.