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 $173.78 Median $346.74 Typical High $776.25 | Facility | None | $173.78 | $346.74 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $758.58 | Facility | None | $181.97 | $281.84 | $758.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $147.91 Median $467.74 Typical High $1,230.27 | Professional | None | $147.91 | $467.74 | $1,230.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $794.33 | Facility | None | $389.05 | $549.54 | $794.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $302.00 Typical High $478.63 | Facility | None | $158.49 | $302.00 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $954.99 | Professional | None | $147.91 | $257.04 | $954.99 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $416.87 Typical High $5,888.44 | Facility | None | $83.18 | $416.87 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $630.96 | Professional | None | $147.91 | $245.47 | $630.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $758.58 | Facility | None | $181.97 | $281.84 | $758.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $147.91 Median $467.74 Typical High $1,230.27 | Professional | None | $147.91 | $467.74 | $1,230.27 |
United Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $295.12 | Facility | None | $223.87 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $467.74 | Professional | None | $97.72 | $147.91 | $467.74 |
Well Sense Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $446.68 | Facility | None | $218.78 | $302.00 | $446.68 |
Well Sense Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None | $186.21 | $186.21 | $223.87 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $245.47 Median $323.59 Typical High $380.19 | Facility | QW · Waived lab test | $245.47 | $323.59 | $380.19 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 19th of 51
$251
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.