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 $169.82 Median $338.84 Typical High $758.58 | Facility | None | $169.82 | $338.84 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | None | $158.49 | $169.82 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $575.44 | Facility | None | $162.18 | $251.19 | $575.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $107.15 Median $338.84 Typical High $891.25 | Professional | None | $107.15 | $338.84 | $891.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $691.83 | Facility | None | $346.74 | $489.78 | $691.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $371.54 | Facility | None | $138.04 | $239.88 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $691.83 | Professional | None | $107.15 | $186.21 | $691.83 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $302.00 Typical High $5,888.44 | Facility | None | $83.18 | $302.00 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | None | $251.19 | $251.19 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $562.34 | Professional | None | $107.15 | $177.83 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $575.44 | Facility | None | $162.18 | $251.19 | $575.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $107.15 Median $338.84 Typical High $891.25 | Professional | None | $107.15 | $338.84 | $891.25 |
United Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $213.80 | Facility | None | $158.49 | $177.83 | $213.80 |
United Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $354.81 | Professional | None | $70.79 | $107.15 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $323.59 | Facility | None | $154.88 | $218.78 | $323.59 |
Well Sense Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None | $181.97 | $181.97 | $218.78 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $177.83 Median $229.09 Typical High $275.42 | Facility | QW · Waived lab test | $177.83 | $229.09 | $275.42 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 16th of 51
$209
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.