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 $177.83 Median $269.15 Typical High $707.95 | Facility | None | $177.83 | $269.15 | $707.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $100.00 Median $457.09 Typical High $1,202.26 | Professional | None | $100.00 | $457.09 | $1,202.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $758.58 | Facility | None | $380.19 | $537.03 | $758.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $234.42 Typical High $467.74 | Facility | None | $138.04 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $933.25 | Professional | None | $128.82 | $251.19 | $933.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $398.11 Typical High $5,888.44 | Facility | None | $83.18 | $398.11 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None | $338.84 | $338.84 | $398.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $97.72 Median $239.88 Typical High $512.86 | Professional | None | $97.72 | $239.88 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $177.83 Median $269.15 Typical High $707.95 | Facility | None | $177.83 | $269.15 | $707.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $100.00 Median $457.09 Typical High $1,202.26 | Professional | None | $100.00 | $457.09 | $1,202.26 |
United Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $288.40 | Facility | None | $213.80 | $239.88 | $288.40 |
United Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $457.09 | Professional | None | $95.50 | $141.25 | $457.09 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $436.52 | Facility | None | $208.93 | $288.40 | $436.52 |
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 $239.88 Median $309.03 Typical High $371.54 | Facility | QW · Waived lab test | $239.88 | $309.03 | $371.54 |
Where Massachusetts sits
The same service costs 3.8 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· 18th of 51
$240
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.