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 $199.53 Median $398.11 Typical High $891.25 | Facility | None | $199.53 | $398.11 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $1,905.46 | Facility | None | $478.63 | $676.08 | $1,905.46 |
AllWays Health Partners Setting Professional Modifier None Typical Low $269.15 Median $1,230.27 Typical High $3,235.94 | Professional | None | $269.15 | $1,230.27 | $3,235.94 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,445.44 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $1,258.93 | Facility | None | $245.47 | $501.19 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $676.08 Typical High $2,511.89 | Professional | None | $346.74 | $676.08 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,071.52 Typical High $5,888.44 | Facility | None | $83.18 | $1,071.52 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | None | $912.01 | $912.01 | $1,071.52 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $257.04 Median $645.65 Typical High $1,380.38 | Professional | None | $257.04 | $645.65 | $1,380.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $1,905.46 | Facility | None | $478.63 | $676.08 | $1,905.46 |
Mass General Brigham Setting Professional Modifier None Typical Low $269.15 Median $1,230.27 Typical High $3,235.94 | Professional | None | $269.15 | $1,230.27 | $3,235.94 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $776.25 | Facility | None | $575.44 | $645.65 | $776.25 |
United Setting Professional Modifier None Typical Low $173.78 Median $389.05 Typical High $1,230.27 | Professional | None | $173.78 | $389.05 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $1,174.90 | Facility | None | $562.34 | $776.25 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $645.65 Median $831.76 Typical High $1,000.00 | Facility | QW · Waived lab test | $645.65 | $831.76 | $1,000.00 |
Where Massachusetts sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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· 17th of 51
$646
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.