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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $14,125.38 | Facility | None | $3,548.13 | $5,011.87 | $14,125.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $7,244.36 Typical High $23,988.33 | Professional | None | $1,995.26 | $7,244.36 | $23,988.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $8,511.38 | Facility | None | $3,162.28 | $3,548.13 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $5,011.87 Typical High $18,620.87 | Professional | None | $2,511.89 | $5,011.87 | $18,620.87 |
Fallon Health Setting Facility Modifier None Typical Low $2,951.21 Median $6,918.31 Typical High $8,128.31 | Facility | None | $2,951.21 | $6,918.31 | $8,128.31 |
Fallon Health Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $8,128.31 | Professional | None | $6,918.31 | $6,918.31 | $8,128.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $10,232.93 | Professional | None | $2,398.83 | $4,786.30 | $10,232.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $14,125.38 | Facility | None | $3,548.13 | $5,011.87 | $14,125.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,995.26 Median $7,244.36 Typical High $23,988.33 | Professional | None | $1,995.26 | $7,244.36 | $23,988.33 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $5,754.40 | Facility | None | $4,265.80 | $4,786.30 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $9,120.11 | Professional | None | $1,905.46 | $2,884.03 | $9,120.11 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $8,317.64 | Facility | None | $2,511.89 | $5,248.07 | $8,317.64 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4,786.30 Median $6,165.95 Typical High $7,413.10 | Facility | QW · Waived lab test | $4,786.30 | $6,165.95 | $7,413.10 |
Where Massachusetts sits
The same service costs 10.7 times more in Alaska than in Kentucky. 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
$4,786
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.