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 $131.83 Median $269.15 Typical High $588.84 | Facility | None | $131.83 | $269.15 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $616.60 | Facility | None | $147.91 | $229.09 | $616.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $114.82 Median $389.05 Typical High $1,023.29 | Professional | None | $114.82 | $389.05 | $1,023.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $645.65 | Facility | None | $323.59 | $457.09 | $645.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $398.11 | Facility | None | $131.83 | $245.47 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $794.33 | Professional | None | $120.23 | $213.80 | $794.33 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $5,888.44 | Facility | None | $83.18 | $338.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | None | $288.40 | $288.40 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $501.19 | Professional | None | $114.82 | $204.17 | $501.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $616.60 | Facility | None | $147.91 | $229.09 | $616.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $114.82 Median $389.05 Typical High $1,023.29 | Professional | None | $114.82 | $389.05 | $1,023.29 |
United Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $245.47 | Facility | None | $181.97 | $204.17 | $245.47 |
United Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $389.05 | Professional | None | $81.28 | $120.23 | $389.05 |
Well Sense Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $363.08 | Facility | None | $177.83 | $245.47 | $363.08 |
Well Sense Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None | $144.54 | $144.54 | $173.78 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $204.17 Median $263.03 Typical High $316.23 | Facility | QW · Waived lab test | $204.17 | $263.03 | $316.23 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska 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· 25th of 51
$204
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.