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 $190.55 Median $295.12 Typical High $660.69 | Facility | None | $190.55 | $295.12 | $660.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $398.11 Typical High $1,047.13 | Professional | None | $125.89 | $398.11 | $1,047.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $812.83 | Facility | None | $407.38 | $575.44 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $436.52 | Facility | None | $162.18 | $281.84 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $812.83 | Professional | None | $123.03 | $218.78 | $812.83 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $346.74 Typical High $5,888.44 | Facility | None | $83.18 | $346.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | None | $295.12 | $295.12 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $660.69 | Professional | None | $125.89 | $208.93 | $660.69 |
Health New England Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $660.69 | Facility | None | $190.55 | $295.12 | $660.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $398.11 Typical High $1,047.13 | Professional | None | $125.89 | $398.11 | $1,047.13 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $251.19 | Facility | None | $186.21 | $208.93 | $251.19 |
United Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $416.87 | Professional | None | $83.18 | $125.89 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Facility | None | $181.97 | $251.19 | $380.19 |
Well Sense Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None | $213.80 | $213.80 | $257.04 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
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 $208.93 Median $269.15 Typical High $323.59 | Facility | QW · Waived lab test | $208.93 | $269.15 | $323.59 |
Where Massachusetts sits
The same service costs 5.1 times more in California than in Delaware. 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· 17th of 51
$251
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.