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 $263.03 Median $524.81 Typical High $1,174.90 | Facility | None | $263.03 | $524.81 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $1,148.15 | Facility | None | $275.42 | $426.58 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $223.87 Median $758.58 Typical High $1,862.09 | Professional | None | $223.87 | $758.58 | $1,862.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,348.96 | Facility | None | $446.68 | $741.31 | $1,348.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $724.44 | Facility | None | $245.47 | $295.12 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $446.68 Typical High $1,445.44 | Professional | None | $208.93 | $446.68 | $1,445.44 |
Fallon Health Setting Facility Modifier None Typical Low $194.98 Median $630.96 Typical High $5,888.44 | Facility | None | $194.98 | $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 $158.49 Median $371.54 Typical High $812.83 | Professional | None | $158.49 | $371.54 | $812.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $1,148.15 | Facility | None | $275.42 | $426.58 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $223.87 Median $758.58 Typical High $1,862.09 | Professional | None | $223.87 | $758.58 | $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 $151.36 Median $223.87 Typical High $707.95 | Professional | None | $151.36 | $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 $281.84 Median $281.84 Typical High $338.84 | Professional | None | $281.84 | $281.84 | $338.84 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
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 6.5 times more in Texas than in Alabama. 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· 18th of 51
$398
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.