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 $109.65 Median $218.78 Typical High $489.78 | Facility | None | $109.65 | $218.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $239.88 | Professional | None | $109.65 | $109.65 | $239.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $645.65 | Facility | None | $194.98 | $302.00 | $645.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $95.50 Median $416.87 Typical High $1,122.02 | Professional | None | $95.50 | $416.87 | $1,122.02 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $416.87 Median $588.84 Typical High $851.14 | Facility | None | $416.87 | $588.84 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $363.08 Typical High $831.76 | Facility | None | $169.82 | $363.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $851.14 | Professional | None | $131.83 | $263.03 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $371.54 Typical High $5,888.44 | Facility | None | $83.18 | $371.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None | $309.03 | $309.03 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $95.50 Median $218.78 Typical High $467.74 | Professional | None | $95.50 | $218.78 | $467.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $645.65 | Facility | None | $194.98 | $302.00 | $645.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $95.50 Median $416.87 Typical High $1,122.02 | Professional | None | $95.50 | $416.87 | $1,122.02 |
United Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $263.03 | Facility | None | $194.98 | $218.78 | $263.03 |
United Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $416.87 | Professional | None | $87.10 | $131.83 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $398.11 | Facility | None | $190.55 | $269.15 | $398.11 |
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 $54.95 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $218.78 Median $281.84 Typical High $338.84 | Facility | QW · Waived lab test | $218.78 | $281.84 | $338.84 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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
$240
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.