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 $812.83 Median $1,621.81 Typical High $3,630.78 | Facility | None | $812.83 | $1,621.81 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $2,884.03 Typical High $4,168.69 | Facility | None | $1,318.26 | $2,884.03 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,025.60 | Professional | None | $691.83 | $2,187.76 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $2,454.71 | Facility | None | $776.25 | $912.01 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $2,238.72 | Professional | None | $724.44 | $1,096.48 | $2,238.72 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $2,041.74 Typical High $5,888.44 | Facility | None | $83.18 | $2,041.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,698.24 | $1,698.24 | $2,041.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $2,089.30 | Professional | None | $691.83 | $1,202.26 | $2,089.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,318.26 Median $2,884.03 Typical High $4,168.69 | Facility | None | $1,318.26 | $2,884.03 | $4,168.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,025.60 | Professional | None | $691.83 | $2,187.76 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,445.44 | Facility | None | $1,071.52 | $1,202.26 | $1,445.44 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $2,187.76 | Professional | None | $467.74 | $691.83 | $2,187.76 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,412.54 | $2,089.30 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,202.26 Median $1,548.82 Typical High $1,862.09 | Facility | QW · Waived lab test | $1,202.26 | $1,548.82 | $1,862.09 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska 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· 17th of 51
$1,202
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.