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 $416.87 Median $831.76 Typical High $1,862.09 | Facility | None | $416.87 | $831.76 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,819.70 | Facility | None | $446.68 | $691.83 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $363.08 Median $1,148.15 Typical High $3,019.95 | Professional | None | $363.08 | $1,148.15 | $3,019.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,905.46 | Facility | None | $954.99 | $1,348.96 | $1,905.46 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $741.31 Typical High $1,174.90 | Facility | None | $389.05 | $741.31 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $630.96 Typical High $2,344.23 | Professional | None | $354.81 | $630.96 | $2,344.23 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,000.00 Typical High $5,888.44 | Facility | None | $83.18 | $1,000.00 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | None | $851.14 | $851.14 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $1,548.82 | Professional | None | $363.08 | $602.56 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,819.70 | Facility | None | $446.68 | $691.83 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $363.08 Median $1,148.15 Typical High $3,019.95 | Professional | None | $363.08 | $1,148.15 | $3,019.95 |
United Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $724.44 | Facility | None | $537.03 | $602.56 | $724.44 |
United Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $1,148.15 | Professional | None | $239.88 | $363.08 | $1,148.15 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $1,096.48 | Facility | None | $524.81 | $724.44 | $1,096.48 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $602.56 Median $776.25 Typical High $933.25 | Facility | QW · Waived lab test | $602.56 | $776.25 | $933.25 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 21st of 51
$617
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.