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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $812.83 Typical High $1,047.13 | Facility | None | $338.84 | $812.83 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,513.56 | Professional | None | $181.97 | $575.44 | $1,513.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $1,000.00 | Facility | None | $489.78 | $691.83 | $1,000.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | None | $288.40 | $288.40 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $630.96 | Facility | None | $199.53 | $407.38 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $1,174.90 | Professional | None | $181.97 | $323.59 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $512.86 Typical High $5,888.44 | Facility | None | $83.18 | $512.86 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | None | $436.52 | $436.52 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $676.08 | Professional | None | $181.97 | $302.00 | $676.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $812.83 Typical High $1,047.13 | Facility | None | $338.84 | $812.83 | $1,047.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,513.56 | Professional | None | $181.97 | $575.44 | $1,513.56 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $363.08 | Facility | None | $275.42 | $302.00 | $363.08 |
United Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $575.44 | Professional | None | $123.03 | $181.97 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $549.54 | Facility | None | $269.15 | $371.54 | $549.54 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $302.00 Median $398.11 Typical High $467.74 | Facility | QW · Waived lab test | $302.00 | $398.11 | $467.74 |
Where Massachusetts sits
The same service costs 5.5 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· 16th of 51
$324
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.