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 $128.82 Median $257.04 Typical High $575.44 | Facility | None | $128.82 | $257.04 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $562.34 | Facility | None | $138.04 | $213.80 | $562.34 |
AllWays Health Partners Setting Professional Modifier None Typical Low $112.20 Median $371.54 Typical High $933.25 | Professional | None | $112.20 | $371.54 | $933.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $467.74 | Facility | None | $186.21 | $229.09 | $467.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | None | $173.78 | $173.78 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $323.59 | Facility | None | $123.03 | $144.54 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $724.44 | Professional | None | $107.15 | $223.87 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $97.72 Median $309.03 Typical High $5,888.44 | Facility | None | $97.72 | $309.03 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | None | $263.03 | $263.03 | $309.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $537.03 | Professional | None | $112.20 | $186.21 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $562.34 | Facility | None | $138.04 | $213.80 | $562.34 |
Mass General Brigham Setting Professional Modifier None Typical Low $112.20 Median $371.54 Typical High $933.25 | Professional | None | $112.20 | $371.54 | $933.25 |
United Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $223.87 | Facility | None | $165.96 | $186.21 | $223.87 |
United Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $354.81 | Professional | None | $74.13 | $112.20 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $338.84 | Facility | None | $162.18 | $223.87 | $338.84 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $186.21 Median $239.88 Typical High $288.40 | Facility | QW · Waived lab test | $186.21 | $239.88 | $288.40 |
Where Massachusetts sits
The same service costs 4.5 times more in Texas than in Oklahoma. 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· 19th of 51
$191
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.