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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,737.80 | Facility | None | $575.44 | $891.25 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $316.23 Median $1,000.00 Typical High $2,630.27 | Professional | None | $316.23 | $1,000.00 | $2,630.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,698.24 | Facility | None | $831.76 | $1,174.90 | $1,698.24 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $489.78 Typical High $1,023.29 | Facility | None | $288.40 | $489.78 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $562.34 Typical High $2,041.74 | Professional | None | $316.23 | $562.34 | $2,041.74 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $891.25 Typical High $5,888.44 | Facility | None | $83.18 | $891.25 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | None | $758.58 | $758.58 | $891.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $223.87 Median $524.81 Typical High $1,174.90 | Professional | None | $223.87 | $524.81 | $1,174.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,737.80 | Facility | None | $575.44 | $891.25 | $1,737.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $316.23 Median $1,000.00 Typical High $2,630.27 | Professional | None | $316.23 | $1,000.00 | $2,630.27 |
United Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $630.96 | Facility | None | $478.63 | $524.81 | $630.96 |
United Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $1,000.00 | Professional | None | $208.93 | $316.23 | $1,000.00 |
Well Sense Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $954.99 | Facility | None | $467.74 | $645.65 | $954.99 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $524.81 Median $691.83 Typical High $812.83 | Facility | QW · Waived lab test | $524.81 | $691.83 | $812.83 |
Where Massachusetts sits
The same service costs 4.5 times more in Texas than in New Mexico. 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
$550
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.