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 $107.15 Median $213.80 Typical High $467.74 | Facility | None | $107.15 | $213.80 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $630.96 | Facility | None | $158.49 | $245.47 | $630.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $91.20 Median $407.38 Typical High $1,071.52 | Professional | None | $91.20 | $407.38 | $1,071.52 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $676.08 | Facility | None | $338.84 | $478.63 | $676.08 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $416.87 | Facility | None | $128.82 | $223.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $831.76 | Professional | None | $128.82 | $223.87 | $831.76 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $363.08 Typical High $5,888.44 | Facility | None | $83.18 | $363.08 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None | $309.03 | $309.03 | $363.08 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $91.20 Median $213.80 Typical High $457.09 | Professional | None | $91.20 | $213.80 | $457.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $630.96 | Facility | None | $158.49 | $245.47 | $630.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $91.20 Median $407.38 Typical High $1,071.52 | Professional | None | $91.20 | $407.38 | $1,071.52 |
United Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $257.04 | Facility | None | $190.55 | $213.80 | $257.04 |
United Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $407.38 | Professional | None | $85.11 | $128.82 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $389.05 | Facility | None | $186.21 | $263.03 | $389.05 |
Well Sense Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | None | $114.82 | $114.82 | $138.04 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $213.80 Median $275.42 Typical High $331.13 | Facility | QW · Waived lab test | $213.80 | $275.42 | $331.13 |
Where Massachusetts sits
The same service costs 3.7 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· 20th of 51
$214
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.