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 $134.90 Median $269.15 Typical High $602.56 | Facility | None | $134.90 | $269.15 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $588.84 | Facility | None | $141.25 | $218.78 | $588.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $114.82 Median $371.54 Typical High $954.99 | Professional | None | $114.82 | $371.54 | $954.99 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $338.84 | Facility | None | $123.03 | $141.25 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $208.93 Typical High $758.58 | Professional | None | $107.15 | $208.93 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $323.59 Typical High $5,888.44 | Facility | None | $83.18 | $323.59 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $416.87 | Professional | None | $114.82 | $194.98 | $416.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $588.84 | Facility | None | $141.25 | $218.78 | $588.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $114.82 Median $371.54 Typical High $954.99 | Professional | None | $114.82 | $371.54 | $954.99 |
United Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $234.42 | Facility | None | $173.78 | $194.98 | $234.42 |
United Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $371.54 | Professional | None | $77.62 | $114.82 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $346.74 | Facility | None | $169.82 | $234.42 | $346.74 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $194.98 Median $251.19 Typical High $302.00 | Facility | QW · Waived lab test | $194.98 | $251.19 | $302.00 |
Where Massachusetts sits
The same service costs 8.3 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· 20th of 51
$200
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.