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 $79.43 Median $162.18 Typical High $354.81 | Facility | None | $79.43 | $162.18 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
AllWays Health Partners Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $169.82 | Facility | None | $85.11 | $102.33 | $169.82 |
AllWays Health Partners Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $446.68 | Professional | None | $45.71 | $69.18 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $239.88 | Facility | None | $77.62 | $89.13 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $173.78 | Professional | None | $131.83 | $138.04 | $173.78 |
Fallon Health Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $5,888.44 | Facility | None | $165.96 | $194.98 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None | $165.96 | $165.96 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $54.95 Median $114.82 Typical High $331.13 | Professional | None | $54.95 | $114.82 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $169.82 | Facility | None | $85.11 | $102.33 | $169.82 |
Mass General Brigham Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $446.68 | Professional | None | $45.71 | $69.18 | $446.68 |
United Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $239.88 | Professional | None | $45.71 | $69.18 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $3,090.30 Typical High $4,897.79 | Facility | None | $97.72 | $3,090.30 | $4,897.79 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $114.82 Median $147.91 Typical High $177.83 | Facility | QW · Waived lab test | $114.82 | $147.91 | $177.83 |
Where Massachusetts sits
The same service costs 8.1 times more in Alaska than in Kentucky. 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
$115
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.