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 $112.20 Median $223.87 Typical High $501.19 | Facility | None | $112.20 | $223.87 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $912.01 | Facility | None | $229.09 | $354.81 | $912.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $128.82 Median $588.84 Typical High $1,548.82 | Professional | None | $128.82 | $588.84 | $1,548.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $977.24 | Facility | None | $489.78 | $691.83 | $977.24 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | None | $151.36 | $151.36 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $602.56 | Facility | None | $138.04 | $239.88 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $1,202.26 | Professional | None | $186.21 | $323.59 | $1,202.26 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $524.81 Typical High $5,888.44 | Facility | None | $83.18 | $524.81 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None | $436.52 | $436.52 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $123.03 Median $309.03 Typical High $660.69 | Professional | None | $123.03 | $309.03 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $912.01 | Facility | None | $229.09 | $354.81 | $912.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $128.82 Median $588.84 Typical High $1,548.82 | Professional | None | $128.82 | $588.84 | $1,548.82 |
United Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $371.54 | Facility | None | $275.42 | $309.03 | $371.54 |
United Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $588.84 | Professional | None | $97.72 | $186.21 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $562.34 | Facility | None | $269.15 | $380.19 | $562.34 |
Well Sense Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None | $123.03 | $123.03 | $147.91 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $309.03 Median $398.11 Typical High $478.63 | Facility | QW · Waived lab test | $309.03 | $398.11 | $478.63 |
Where Massachusetts sits
The same service costs 5.9 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· 16th of 51
$309
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.