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 $302.00 Median $602.56 Typical High $1,348.96 | Facility | None | $302.00 | $602.56 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $1,000.00 | Facility | None | $190.55 | $295.12 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $123.03 Median $436.52 Typical High $1,513.56 | Professional | None | $123.03 | $436.52 | $1,513.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $812.83 | Facility | None | $407.38 | $575.44 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $354.81 Typical High $501.19 | Facility | None | $162.18 | $354.81 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $812.83 | Professional | None | $123.03 | $229.09 | $812.83 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $346.74 Typical High $5,888.44 | Facility | None | $83.18 | $346.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | None | $295.12 | $295.12 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $707.95 | Professional | None | $123.03 | $208.93 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $1,000.00 | Facility | None | $190.55 | $295.12 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $123.03 Median $436.52 Typical High $1,513.56 | Professional | None | $123.03 | $436.52 | $1,513.56 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $251.19 | Facility | None | $186.21 | $208.93 | $251.19 |
United Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $467.74 | Professional | None | $83.18 | $123.03 | $467.74 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Facility | None | $181.97 | $251.19 | $380.19 |
Well Sense Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | None | $323.59 | $323.59 | $389.05 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $208.93 Median $269.15 Typical High $323.59 | Facility | QW · Waived lab test | $208.93 | $269.15 | $323.59 |
Where Massachusetts sits
The same service costs 3.4 times more in Texas than in Ohio. 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· 7th of 51
$302
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.