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 $204.17 Median $407.38 Typical High $912.01 | Facility | None | $204.17 | $407.38 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $891.25 | Facility | None | $218.78 | $338.84 | $891.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $549.54 Typical High $1,445.44 | Professional | None | $173.78 | $549.54 | $1,445.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $724.44 | Facility | None | $288.40 | $363.08 | $724.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $512.86 | Facility | None | $194.98 | $229.09 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $1,122.02 | Professional | None | $169.82 | $346.74 | $1,122.02 |
Fallon Health Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $5,888.44 | Facility | None | $151.36 | $489.78 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $741.31 | Professional | None | $173.78 | $288.40 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $891.25 | Facility | None | $218.78 | $338.84 | $891.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $549.54 Typical High $1,445.44 | Professional | None | $173.78 | $549.54 | $1,445.44 |
United Setting Facility Modifier None Typical Low $263.03 Median $288.40 Typical High $346.74 | Facility | None | $263.03 | $288.40 | $346.74 |
United Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $549.54 | Professional | None | $117.49 | $173.78 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $354.81 Typical High $524.81 | Facility | None | $257.04 | $354.81 | $524.81 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $288.40 Median $380.19 Typical High $446.68 | Facility | QW · Waived lab test | $288.40 | $380.19 | $446.68 |
Where Massachusetts sits
The same service costs 4.5 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· 19th 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.