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 $338.84 Median $676.08 Typical High $1,513.56 | Facility | None | $338.84 | $676.08 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,122.02 | Facility | None | $269.15 | $389.05 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $933.25 | Professional | None | $213.80 | $354.81 | $933.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $1,479.11 | Facility | None | $489.78 | $870.96 | $1,479.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $457.09 | Professional | None | $338.84 | $346.74 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $933.25 | Facility | None | $234.42 | $467.74 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $436.52 Typical High $1,380.38 | Professional | None | $218.78 | $436.52 | $1,380.38 |
Fallon Health Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $5,888.44 | Facility | None | $512.86 | $602.56 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $1,380.38 | Professional | None | $177.83 | $354.81 | $1,380.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,122.02 | Facility | None | $269.15 | $389.05 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $933.25 | Professional | None | $213.80 | $354.81 | $933.25 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $426.58 | Facility | None | $323.59 | $354.81 | $426.58 |
United Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $758.58 | Professional | None | $144.54 | $275.42 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $616.60 | Facility | None | $316.23 | $398.11 | $616.60 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $354.81 Median $467.74 Typical High $549.54 | Facility | QW · Waived lab test | $354.81 | $467.74 | $549.54 |
Where Massachusetts sits
The same service costs 5.4 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
$389
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.