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 $331.13 Median $660.69 Typical High $1,479.11 | Facility | None | $331.13 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | None | $331.13 | $331.13 | $380.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $1,122.02 | Facility | None | $316.23 | $489.78 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $1,737.80 | Professional | None | $208.93 | $660.69 | $1,737.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $1,380.38 | Facility | None | $676.08 | $954.99 | $1,380.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | None | $323.59 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $724.44 | Facility | None | $269.15 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $363.08 Typical High $1,348.96 | Professional | None | $208.93 | $363.08 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $588.84 Typical High $5,888.44 | Facility | None | $83.18 | $588.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | None | $489.78 | $489.78 | $588.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $208.93 Median $346.74 Typical High $1,096.48 | Professional | None | $208.93 | $346.74 | $1,096.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $1,122.02 | Facility | None | $316.23 | $489.78 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $1,737.80 | Professional | None | $208.93 | $660.69 | $1,737.80 |
United Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $416.87 | Facility | None | $309.03 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $691.83 | Professional | None | $138.04 | $208.93 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $630.96 | Facility | None | $302.00 | $426.58 | $630.96 |
Well Sense Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None | $354.81 | $354.81 | $426.58 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $346.74 Median $446.68 Typical High $537.03 | Facility | QW · Waived lab test | $346.74 | $446.68 | $537.03 |
Where Massachusetts sits
The same service costs 4.6 times more in Texas 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· 15th of 51
$417
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.