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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $1,862.09 | Facility | None | $436.52 | $630.96 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $354.81 Median $870.96 Typical High $2,951.21 | Professional | None | $354.81 | $870.96 | $2,951.21 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $79.43 Median $1,445.44 Typical High $2,089.30 | Facility | None | $79.43 | $1,445.44 | $2,089.30 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | None | $575.44 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,023.29 | Facility | None | $380.19 | $588.84 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $2,290.87 | Professional | None | $346.74 | $707.95 | $2,290.87 |
Fallon Health Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $5,888.44 | Facility | None | $794.33 | $977.24 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | None | $831.76 | $831.76 | $977.24 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,819.70 | Professional | None | $354.81 | $588.84 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $1,862.09 | Facility | None | $436.52 | $630.96 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $354.81 Median $870.96 Typical High $2,951.21 | Professional | None | $354.81 | $870.96 | $2,951.21 |
United Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $707.95 | Facility | None | $524.81 | $588.84 | $707.95 |
United Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $1,174.90 | Professional | None | $234.42 | $354.81 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $1,023.29 | Facility | None | $512.86 | $645.65 | $1,023.29 |
Well Sense Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $588.84 Median $758.58 Typical High $912.01 | Facility | QW · Waived lab test | $588.84 | $758.58 | $912.01 |
Where Massachusetts sits
The same service costs 3.2 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· 14th of 51
$646
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.