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 $302.00 Median $616.60 Typical High $1,348.96 | Facility | None | $302.00 | $616.60 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $1,023.29 | Facility | None | $239.88 | $346.74 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $831.76 | Professional | None | $194.98 | $323.59 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $1,348.96 | Facility | None | $436.52 | $794.33 | $1,348.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $407.38 | Professional | None | $302.00 | $316.23 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $831.76 | Facility | None | $213.80 | $416.87 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $1,258.93 | Professional | None | $194.98 | $398.11 | $1,258.93 |
Fallon Health Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $5,888.44 | Facility | None | $467.74 | $549.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | None | $467.74 | $467.74 | $549.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $162.18 Median $323.59 Typical High $1,258.93 | Professional | None | $162.18 | $323.59 | $1,258.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $1,023.29 | Facility | None | $239.88 | $346.74 | $1,023.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $831.76 | Professional | None | $194.98 | $323.59 | $831.76 |
United Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $389.05 | Facility | None | $288.40 | $323.59 | $389.05 |
United Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $676.08 | Professional | None | $128.82 | $251.19 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $562.34 | Facility | None | $281.84 | $354.81 | $562.34 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $323.59 Median $416.87 Typical High $501.19 | Facility | QW · Waived lab test | $323.59 | $416.87 | $501.19 |
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· 16th of 51
$355
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.