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 $54.95 Median $109.65 Typical High $245.47 | Facility | None | $54.95 | $109.65 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $63.10 | Professional | None | $42.66 | $54.95 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $151.36 | Facility | None | $35.48 | $51.29 | $151.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $47.86 Typical High $120.23 | Professional | None | $20.89 | $47.86 | $120.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $199.53 | Facility | None | $66.07 | $117.49 | $199.53 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $47.86 | Professional | None | $44.67 | $46.77 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $61.66 Typical High $114.82 | Facility | None | $31.62 | $61.66 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $58.88 Typical High $186.21 | Professional | None | $28.84 | $58.88 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $4,897.79 | Facility | None | $52.48 | $81.28 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $47.86 Typical High $186.21 | Professional | None | $20.89 | $47.86 | $186.21 |
Health New England Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $109.65 | Facility | None | $38.02 | $61.66 | $109.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $151.36 | Facility | None | $35.48 | $51.29 | $151.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $47.86 Typical High $120.23 | Professional | None | $20.89 | $47.86 | $120.23 |
United Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $57.54 | Facility | None | $42.66 | $47.86 | $57.54 |
United Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $100.00 | Professional | None | $19.05 | $28.84 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $13.49 Median $52.48 Typical High $83.18 | Facility | None | $13.49 | $52.48 | $83.18 |
Well Sense Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | None | $13.49 | $13.49 | $15.85 |
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 $25.12 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $25.12 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.00 | $10.96 | $10.96 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $47.86 Median $61.66 Typical High $74.13 | Facility | QW · Waived lab test | $47.86 | $61.66 | $74.13 |
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· 11th of 51
$54.95
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.