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 $416.87 Median $831.76 Typical High $1,862.09 | Facility | None | $416.87 | $831.76 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $977.24 | Facility | None | $616.60 | $676.08 | $977.24 |
AllWays Health Partners Setting Professional Modifier None Typical Low $354.81 Median $1,584.89 Typical High $4,168.69 | Professional | None | $354.81 | $1,584.89 | $4,168.69 |
BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,348.96 | $1,862.09 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,621.81 | Facility | None | $436.52 | $660.69 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $3,235.94 | Professional | None | $501.19 | $954.99 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $5,888.44 | Facility | None | $1,202.26 | $1,412.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $354.81 Median $831.76 Typical High $1,778.28 | Professional | None | $354.81 | $831.76 | $1,778.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $977.24 | Facility | None | $616.60 | $676.08 | $977.24 |
Mass General Brigham Setting Professional Modifier None Typical Low $354.81 Median $1,584.89 Typical High $4,168.69 | Professional | None | $354.81 | $1,584.89 | $4,168.69 |
United Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,000.00 | Facility | None | $758.58 | $831.76 | $1,000.00 |
United Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $1,584.89 | Professional | None | $338.84 | $501.19 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,479.11 | Facility | None | $741.31 | $933.25 | $1,479.11 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $831.76 Median $1,096.48 Typical High $1,288.25 | Facility | QW · Waived lab test | $831.76 | $1,096.48 | $1,288.25 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 18th of 51
$832
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.