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 $208.93 Median $426.58 Typical High $933.25 | Facility | None | $208.93 | $426.58 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $933.25 | Facility | None | $223.87 | $346.74 | $933.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $181.97 Median $602.56 Typical High $1,513.56 | Professional | None | $181.97 | $602.56 | $1,513.56 |
BCBS Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $758.58 | Facility | None | $302.00 | $380.19 | $758.58 |
BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $537.03 | Facility | None | $199.53 | $234.42 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $1,174.90 | Professional | None | $173.78 | $363.08 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $158.49 Median $512.86 Typical High $5,888.44 | Facility | None | $158.49 | $512.86 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $676.08 | Professional | None | $181.97 | $302.00 | $676.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $933.25 | Facility | None | $223.87 | $346.74 | $933.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $181.97 Median $602.56 Typical High $1,513.56 | Professional | None | $181.97 | $602.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $363.08 | Facility | None | $269.15 | $302.00 | $363.08 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $575.44 | Professional | None | $120.23 | $181.97 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $549.54 | Facility | None | $263.03 | $371.54 | $549.54 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $302.00 Median $389.05 Typical High $467.74 | Facility | QW · Waived lab test | $302.00 | $389.05 | $467.74 |
Where Massachusetts sits
The same service costs 4.7 times more in Texas than in Alabama. 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
$309
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.