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 $549.54 Median $1,096.48 Typical High $2,454.71 | Facility | None | $549.54 | $1,096.48 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $2,137.96 | Facility | None | $524.81 | $812.83 | $2,137.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $407.38 Median $1,288.25 Typical High $3,388.44 | Professional | None | $407.38 | $1,288.25 | $3,388.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,238.72 | Facility | None | $1,122.02 | $1,584.89 | $2,238.72 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | None | $660.69 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $1,380.38 | Facility | None | $457.09 | $870.96 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $2,630.27 | Professional | None | $407.38 | $707.95 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,148.15 Typical High $5,888.44 | Facility | None | $83.18 | $1,148.15 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None | $977.24 | $977.24 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,949.84 | Professional | None | $407.38 | $676.08 | $1,949.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $2,137.96 | Facility | None | $524.81 | $812.83 | $2,137.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $407.38 Median $1,288.25 Typical High $3,388.44 | Professional | None | $407.38 | $1,288.25 | $3,388.44 |
United Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $812.83 | Facility | None | $602.56 | $676.08 | $812.83 |
United Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $1,288.25 | Professional | None | $269.15 | $407.38 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,230.27 | Facility | None | $602.56 | $831.76 | $1,230.27 |
Well Sense Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | None | $588.84 | $588.84 | $707.95 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $676.08 Median $870.96 Typical High $1,047.13 | Facility | QW · Waived lab test | $676.08 | $870.96 | $1,047.13 |
Where Massachusetts sits
The same service costs 3.6 times more in Texas than in Delaware. 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· 14th of 51
$776
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.