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 $190.55 Median $389.05 Typical High $851.14 | Facility | None | $190.55 | $389.05 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $851.14 | Facility | None | $204.17 | $316.23 | $851.14 |
AllWays Health Partners Setting Professional Modifier None Typical Low $165.96 Median $549.54 Typical High $1,380.38 | Professional | None | $165.96 | $549.54 | $1,380.38 |
BCBS Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $691.83 | Facility | None | $275.42 | $346.74 | $691.83 |
BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $489.78 | Facility | None | $181.97 | $213.80 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $1,071.52 | Professional | None | $162.18 | $331.13 | $1,071.52 |
Fallon Health Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $5,888.44 | Facility | None | $144.54 | $467.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | None | $398.11 | $398.11 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $616.60 | Professional | None | $165.96 | $275.42 | $616.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $851.14 | Facility | None | $204.17 | $316.23 | $851.14 |
Mass General Brigham Setting Professional Modifier None Typical Low $165.96 Median $549.54 Typical High $1,380.38 | Professional | None | $165.96 | $549.54 | $1,380.38 |
United Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $331.13 | Facility | None | $245.47 | $275.42 | $331.13 |
United Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $524.81 | Professional | None | $109.65 | $165.96 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $501.19 | Facility | None | $239.88 | $338.84 | $501.19 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $275.42 Median $354.81 Typical High $426.58 | Facility | QW · Waived lab test | $275.42 | $354.81 | $426.58 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska 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· 20th of 51
$282
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.