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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,511.89 | Facility | None | $602.56 | $1,096.48 | $2,511.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $478.63 Median $1,202.26 Typical High $3,981.07 | Professional | None | $478.63 | $1,202.26 | $3,981.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $2,398.83 | Facility | None | $794.33 | $1,584.89 | $2,398.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $1,412.54 | Facility | None | $524.81 | $602.56 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $3,090.30 | Professional | None | $478.63 | $831.76 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $5,888.44 | Facility | None | $1,148.15 | $1,348.96 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $398.11 Median $794.33 Typical High $1,995.26 | Professional | None | $398.11 | $794.33 | $1,995.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,511.89 | Facility | None | $602.56 | $1,096.48 | $2,511.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $478.63 Median $1,202.26 Typical High $3,981.07 | Professional | None | $478.63 | $1,202.26 | $3,981.07 |
United Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $954.99 | Facility | None | $707.95 | $794.33 | $954.99 |
United Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $1,513.56 | Professional | None | $316.23 | $478.63 | $1,513.56 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $977.24 Typical High $2,511.89 | Facility | None | $707.95 | $977.24 | $2,511.89 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $794.33 Median $1,023.29 Typical High $1,230.27 | Facility | QW · Waived lab test | $794.33 | $1,023.29 | $1,230.27 |
Where Massachusetts sits
The same service costs 3.7 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· 10th 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.