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 $416.87 Typical High $933.25 | Facility | None | $208.93 | $416.87 | $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 $199.53 Median $309.03 Typical High $707.95 | Facility | None | $199.53 | $309.03 | $707.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $131.83 Median $416.87 Typical High $1,096.48 | Professional | None | $131.83 | $416.87 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $870.96 | Facility | None | $436.52 | $616.60 | $870.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None | $208.93 | $208.93 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $467.74 | Facility | None | $173.78 | $302.00 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $851.14 | Professional | None | $131.83 | $234.42 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $371.54 Typical High $5,888.44 | Facility | None | $83.18 | $371.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $707.95 | Professional | None | $131.83 | $218.78 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $707.95 | Facility | None | $199.53 | $309.03 | $707.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $131.83 Median $416.87 Typical High $1,096.48 | Professional | None | $131.83 | $416.87 | $1,096.48 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $263.03 | Facility | None | $199.53 | $218.78 | $263.03 |
United Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $446.68 | Professional | None | $89.13 | $131.83 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $269.15 Typical High $398.11 | Facility | None | $194.98 | $269.15 | $398.11 |
Well Sense Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | None | $229.09 | $229.09 | $275.42 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $218.78 Median $288.40 Typical High $338.84 | Facility | QW · Waived lab test | $218.78 | $288.40 | $338.84 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 15th of 51
$263
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.