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 $275.42 Median $549.54 Typical High $1,230.27 | Facility | None | $275.42 | $549.54 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $1,071.52 | Facility | None | $263.03 | $407.38 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $1,737.80 | Professional | None | $208.93 | $660.69 | $1,737.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $1,148.15 | Facility | None | $562.34 | $794.33 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $371.54 | Professional | None | $338.84 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $436.52 Typical High $691.83 | Facility | None | $234.42 | $436.52 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $371.54 Typical High $1,348.96 | Professional | None | $208.93 | $371.54 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $588.84 Typical High $5,888.44 | Facility | None | $83.18 | $588.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $208.93 Median $346.74 Typical High $1,000.00 | Professional | None | $208.93 | $346.74 | $1,000.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $1,071.52 | Facility | None | $263.03 | $407.38 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $1,737.80 | Professional | None | $208.93 | $660.69 | $1,737.80 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $416.87 | Facility | None | $316.23 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $660.69 | Professional | None | $138.04 | $208.93 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $630.96 | Facility | None | $309.03 | $426.58 | $630.96 |
Well Sense Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | None | $302.00 | $302.00 | $354.81 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $346.74 Median $457.09 Typical High $537.03 | Facility | QW · Waived lab test | $346.74 | $457.09 | $537.03 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 12th of 51
$398
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.