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 $169.82 Median $478.63 Typical High $794.33 | Facility | None | $169.82 | $478.63 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $794.33 | Professional | None | $169.82 | $169.82 | $794.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $812.83 | Facility | None | $194.98 | $302.00 | $812.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $158.49 Median $645.65 Typical High $1,548.82 | Professional | None | $158.49 | $645.65 | $1,548.82 |
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 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | None | $223.87 | $223.87 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $354.81 Typical High $676.08 | Facility | None | $173.78 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $1,023.29 | Professional | None | $141.25 | $288.40 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $151.36 Median $446.68 Typical High $5,888.44 | Facility | None | $151.36 | $446.68 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | None | $380.19 | $380.19 | $446.68 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $691.83 | Professional | None | $158.49 | $398.11 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $812.83 | Facility | None | $194.98 | $302.00 | $812.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $158.49 Median $645.65 Typical High $1,548.82 | Professional | None | $158.49 | $645.65 | $1,548.82 |
United Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $316.23 | Facility | None | $239.88 | $263.03 | $316.23 |
United Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $660.69 | Professional | None | $147.91 | $263.03 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $478.63 | Facility | None | $234.42 | $323.59 | $478.63 |
Well Sense Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
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 $85.11 Median $85.11 Typical High $398.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $158.49 | Professional | 53 · Discontinued | $33.88 | $33.88 | $158.49 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $263.03 Median $346.74 Typical High $407.38 | Facility | QW · Waived lab test | $263.03 | $346.74 | $407.38 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 6th of 51
$380
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.