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 $229.09 Median $457.09 Typical High $1,023.29 | Facility | None | $229.09 | $457.09 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None | $229.09 | $229.09 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $1,000.00 | Facility | None | $239.88 | $371.54 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $194.98 Median $660.69 Typical High $1,621.81 | Professional | None | $194.98 | $660.69 | $1,621.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $1,148.15 | Facility | None | $380.19 | $645.65 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $630.96 | Facility | None | $208.93 | $257.04 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $354.81 Typical High $1,258.93 | Professional | None | $181.97 | $354.81 | $1,258.93 |
Fallon Health Setting Facility Modifier None Typical Low $169.82 Median $549.54 Typical High $5,888.44 | Facility | None | $169.82 | $549.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | None | $467.74 | $467.74 | $549.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $851.14 | Professional | None | $194.98 | $323.59 | $851.14 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $1,000.00 | Facility | None | $239.88 | $371.54 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $194.98 Median $660.69 Typical High $1,621.81 | Professional | None | $194.98 | $660.69 | $1,621.81 |
United Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $389.05 | Facility | None | $295.12 | $323.59 | $389.05 |
United Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $616.60 | Professional | None | $128.82 | $194.98 | $616.60 |
Well Sense Setting Facility Modifier None Typical Low $288.40 Median $398.11 Typical High $588.84 | Facility | None | $288.40 | $398.11 | $588.84 |
Well Sense Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None | $239.88 | $239.88 | $288.40 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $323.59 Median $426.58 Typical High $501.19 | Facility | QW · Waived lab test | $323.59 | $426.58 | $501.19 |
Where Massachusetts sits
The same service costs 4.2 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· 18th of 51
$339
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.