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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $831.76 Typical High $1,047.13 | Facility | None | $331.13 | $831.76 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,513.56 | Professional | None | $181.97 | $575.44 | $1,513.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $954.99 | Facility | None | $478.63 | $676.08 | $954.99 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $588.84 | Facility | None | $194.98 | $371.54 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $1,174.90 | Professional | None | $181.97 | $316.23 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $512.86 Typical High $5,888.44 | Facility | None | $83.18 | $512.86 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $676.08 | Professional | None | $181.97 | $302.00 | $676.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $831.76 Typical High $1,047.13 | Facility | None | $331.13 | $831.76 | $1,047.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,513.56 | Professional | None | $181.97 | $575.44 | $1,513.56 |
United Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $363.08 | Facility | None | $269.15 | $302.00 | $363.08 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $575.44 | Professional | None | $120.23 | $181.97 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $549.54 | Facility | None | $263.03 | $371.54 | $549.54 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $302.00 Median $389.05 Typical High $467.74 | Facility | QW · Waived lab test | $302.00 | $389.05 | $467.74 |
Where Massachusetts sits
The same service costs 3.9 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· 17th of 51
$316
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.