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 $208.93 Median $416.87 Typical High $933.25 | Facility | None | $208.93 | $416.87 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $912.01 | Facility | None | $218.78 | $338.84 | $912.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $177.83 Median $562.34 Typical High $1,479.11 | Professional | None | $177.83 | $562.34 | $1,479.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $34.67 Median $588.84 Typical High $851.14 | Facility | None | $34.67 | $588.84 | $851.14 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | None | $275.42 | $275.42 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $575.44 | Facility | None | $190.55 | $363.08 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $1,148.15 | Professional | None | $162.18 | $316.23 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $154.88 Median $501.19 Typical High $5,888.44 | Facility | None | $154.88 | $501.19 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | None | $426.58 | $426.58 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $758.58 | Professional | None | $177.83 | $295.12 | $758.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $912.01 | Facility | None | $218.78 | $338.84 | $912.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $177.83 Median $562.34 Typical High $1,479.11 | Professional | None | $177.83 | $562.34 | $1,479.11 |
United Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $354.81 | Facility | None | $269.15 | $295.12 | $354.81 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $562.34 | Professional | None | $117.49 | $177.83 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $537.03 | Facility | None | $263.03 | $363.08 | $537.03 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $295.12 Median $380.19 Typical High $457.09 | Facility | QW · Waived lab test | $295.12 | $380.19 | $457.09 |
Where Massachusetts sits
The same service costs 3.8 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· 22nd 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.