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 $128.82 Median $257.04 Typical High $575.44 | Facility | None | $128.82 | $257.04 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $977.24 | Facility | None | $245.47 | $380.19 | $977.24 |
AllWays Health Partners Setting Professional Modifier None Typical Low $138.04 Median $630.96 Typical High $1,659.59 | Professional | None | $138.04 | $630.96 | $1,659.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $1,047.13 | Facility | None | $524.81 | $741.31 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $645.65 | Facility | None | $158.49 | $269.15 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $1,288.25 | Professional | None | $186.21 | $346.74 | $1,288.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $562.34 Typical High $5,888.44 | Facility | None | $83.18 | $562.34 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | None | $478.63 | $478.63 | $562.34 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $131.83 Median $331.13 Typical High $707.95 | Professional | None | $131.83 | $331.13 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $977.24 | Facility | None | $245.47 | $380.19 | $977.24 |
Mass General Brigham Setting Professional Modifier None Typical Low $138.04 Median $630.96 Typical High $1,659.59 | Professional | None | $138.04 | $630.96 | $1,659.59 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $398.11 | Facility | None | $295.12 | $331.13 | $398.11 |
United Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $630.96 | Professional | None | $109.65 | $199.53 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $295.12 Median $407.38 Typical High $602.56 | Facility | None | $295.12 | $407.38 | $602.56 |
Well Sense Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None | $138.04 | $138.04 | $165.96 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $331.13 Median $426.58 Typical High $512.86 | Facility | QW · Waived lab test | $331.13 | $426.58 | $512.86 |
Where Massachusetts sits
The same service costs 6.5 times more in Texas than in Kentucky. 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· 16th of 51
$331
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.