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 $38.02 Median $107.15 Typical High $251.19 | Facility | None | $38.02 | $107.15 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $177.83 | Professional | None | $38.02 | $38.02 | $177.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $426.58 | Facility | None | $114.82 | $144.54 | $426.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $87.10 Median $380.19 Typical High $1,096.48 | Professional | None | $87.10 | $380.19 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $501.19 | Facility | None | $245.47 | $346.74 | $501.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $134.90 | Professional | None | $51.29 | $51.29 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $489.78 | Facility | None | $102.33 | $213.80 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $218.78 Typical High $562.34 | Professional | None | $85.11 | $218.78 | $562.34 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $204.17 Typical High $5,888.44 | Facility | None | $36.31 | $204.17 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $87.10 Median $245.47 Typical High $371.54 | Professional | None | $87.10 | $245.47 | $371.54 |
Health New England Setting Facility Modifier None Typical Low $93.33 Median $177.83 Typical High $707.95 | Facility | None | $93.33 | $177.83 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $426.58 | Facility | None | $114.82 | $144.54 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $87.10 Median $380.19 Typical High $1,096.48 | Professional | None | $87.10 | $380.19 | $1,096.48 |
United Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $173.78 | Facility | None | $128.82 | $144.54 | $173.78 |
United Setting Professional Modifier None Typical Low $33.88 Median $144.54 Typical High $363.08 | Professional | None | $33.88 | $144.54 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $263.03 | Facility | None | $125.89 | $173.78 | $263.03 |
Well Sense Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
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 $19.05 Median $19.05 Typical High $89.13 | Professional | 52 · Reduced service | $19.05 | $19.05 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $35.48 | Professional | 53 · Discontinued | $7.59 | $7.59 | $35.48 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $144.54 Median $186.21 Typical High $223.87 | Facility | QW · Waived lab test | $144.54 | $186.21 | $223.87 |
Where Massachusetts sits
The same service costs 5.6 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· 13th of 51
$229
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.