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 $91.20 Median $181.97 Typical High $407.38 | Facility | None | $91.20 | $181.97 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $1,000.00 | Facility | None | $251.19 | $338.84 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $134.90 Median $645.65 Typical High $1,698.24 | Professional | None | $134.90 | $645.65 | $1,698.24 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,071.52 | Facility | None | $537.03 | $758.58 | $1,071.52 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $660.69 | Facility | None | $112.20 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $1,318.26 | Professional | None | $186.21 | $354.81 | $1,318.26 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $575.44 Typical High $5,888.44 | Facility | None | $83.18 | $575.44 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None | $478.63 | $478.63 | $575.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $134.90 Median $338.84 Typical High $724.44 | Professional | None | $134.90 | $338.84 | $724.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $1,000.00 | Facility | None | $251.19 | $338.84 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $134.90 Median $645.65 Typical High $1,698.24 | Professional | None | $134.90 | $645.65 | $1,698.24 |
United Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $407.38 | Facility | None | $302.00 | $338.84 | $407.38 |
United Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $645.65 | Professional | None | $77.62 | $204.17 | $645.65 |
Well Sense Setting Facility Modifier None Typical Low $295.12 Median $416.87 Typical High $616.60 | Facility | None | $295.12 | $416.87 | $616.60 |
Well Sense Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $338.84 Median $436.52 Typical High $524.81 | Facility | QW · Waived lab test | $338.84 | $436.52 | $524.81 |
Where Massachusetts sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 13th of 51
$339
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.