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 $380.19 Median $758.58 Typical High $1,698.24 | Facility | None | $380.19 | $758.58 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,288.25 | Facility | None | $363.08 | $562.34 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $239.88 Median $776.25 Typical High $1,995.26 | Professional | None | $239.88 | $776.25 | $1,995.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,584.89 | Facility | None | $794.33 | $1,122.02 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | None | $380.19 | $380.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $549.54 Typical High $851.14 | Facility | None | $316.23 | $549.54 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $1,548.82 | Professional | None | $239.88 | $426.58 | $1,548.82 |
Fallon Health Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $5,888.44 | Facility | None | $275.42 | $676.08 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | None | $575.44 | $575.44 | $676.08 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $1,288.25 | Professional | None | $239.88 | $398.11 | $1,288.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,288.25 | Facility | None | $363.08 | $562.34 | $1,288.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $239.88 Median $776.25 Typical High $1,995.26 | Professional | None | $239.88 | $776.25 | $1,995.26 |
United Setting Facility Modifier None Typical Low $363.08 Median $398.11 Typical High $478.63 | Facility | None | $363.08 | $398.11 | $478.63 |
United Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $812.83 | Professional | None | $162.18 | $239.88 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $489.78 Typical High $724.44 | Facility | None | $354.81 | $489.78 | $724.44 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $398.11 Median $524.81 Typical High $616.60 | Facility | QW · Waived lab test | $398.11 | $524.81 | $616.60 |
Where Massachusetts sits
The same service costs 3.8 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· 13th of 51
$479
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.