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 $15.85 Median $44.67 Typical High $75.86 | Facility | None | $15.85 | $44.67 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | None | $15.85 | $15.85 | $19.05 |
AllWays Health Partners Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $173.78 | Facility | None | $44.67 | $53.70 | $173.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.78 Median $52.48 Typical High $151.36 | Professional | None | $17.78 | $52.48 | $151.36 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $120.23 Typical High $169.82 | Facility | None | $23.44 | $120.23 | $169.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.38 Median $56.23 Typical High $58.88 | Professional | None | $21.38 | $56.23 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $39.81 Typical High $95.50 | Facility | None | $18.62 | $39.81 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $72.44 Typical High $234.42 | Professional | None | $12.88 | $72.44 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $25.12 Median $102.33 Typical High $4,897.79 | Facility | None | $25.12 | $102.33 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | None | $87.10 | $87.10 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $17.78 Median $60.26 Typical High $208.93 | Professional | None | $17.78 | $60.26 | $208.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $173.78 | Facility | None | $44.67 | $53.70 | $173.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.78 Median $52.48 Typical High $151.36 | Professional | None | $17.78 | $52.48 | $151.36 |
United Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $72.44 | Facility | None | $53.70 | $60.26 | $72.44 |
United Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $125.89 | Professional | None | $14.13 | $25.12 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $17.38 Median $66.07 Typical High $104.71 | Facility | None | $17.38 | $66.07 | $104.71 |
Well Sense Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
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 $7.94 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.80 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.80 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $60.26 Median $77.62 Typical High $93.33 | Facility | QW · Waived lab test | $60.26 | $77.62 | $93.33 |
Where Massachusetts sits
The same service costs 8.7 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· 18th of 51
$56.23
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.