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 $251.19 Median $501.19 Typical High $1,096.48 | Facility | None | $251.19 | $501.19 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $831.76 | Facility | None | $239.88 | $371.54 | $831.76 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $501.19 Typical High $1,318.26 | Professional | None | $154.88 | $501.19 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $1,023.29 | Facility | None | $512.86 | $724.44 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $331.13 | Professional | None | $245.47 | $257.04 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $549.54 | Facility | None | $204.17 | $354.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $1,023.29 | Professional | None | $154.88 | $275.42 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $436.52 Typical High $5,888.44 | Facility | None | $83.18 | $436.52 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | None | $371.54 | $371.54 | $436.52 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $831.76 | Professional | None | $154.88 | $263.03 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $831.76 | Facility | None | $239.88 | $371.54 | $831.76 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $501.19 Typical High $1,318.26 | Professional | None | $154.88 | $501.19 | $1,318.26 |
United Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $316.23 | Facility | None | $234.42 | $263.03 | $316.23 |
United Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $524.81 | Professional | None | $104.71 | $154.88 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $467.74 | Facility | None | $229.09 | $316.23 | $467.74 |
Well Sense Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | None | $269.15 | $269.15 | $323.59 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $263.03 Median $338.84 Typical High $407.38 | Facility | QW · Waived lab test | $263.03 | $338.84 | $407.38 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 17th of 51
$309
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.