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 $83.18 Median $234.42 Typical High $389.05 | Facility | None | $83.18 | $234.42 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | None | $83.18 | $83.18 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $275.42 | Facility | None | $64.57 | $95.50 | $275.42 |
AllWays Health Partners Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $218.78 | Professional | None | $45.71 | $87.10 | $218.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $123.03 Median $213.80 Typical High $371.54 | Facility | None | $123.03 | $213.80 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $112.20 | Professional | None | $81.28 | $85.11 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $123.03 Typical High $218.78 | Facility | None | $57.54 | $123.03 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $338.84 | Professional | None | $54.95 | $107.15 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $4,897.79 | Facility | None | $100.00 | $147.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None | $123.03 | $123.03 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $338.84 | Professional | None | $43.65 | $87.10 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $275.42 | Facility | None | $64.57 | $95.50 | $275.42 |
Mass General Brigham Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $218.78 | Professional | None | $45.71 | $87.10 | $218.78 |
United Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $104.71 | Facility | None | $77.62 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $181.97 | Professional | None | $34.67 | $52.48 | $181.97 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $151.36 | Facility | None | $75.86 | $95.50 | $151.36 |
Well Sense Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | None | $91.20 | $91.20 | $109.65 |
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 $41.69 Median $41.69 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $87.10 Median $112.20 Typical High $134.90 | Facility | QW · Waived lab test | $87.10 | $112.20 | $134.90 |
Where Massachusetts sits
The same service costs 4.1 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· 22nd of 51
$95.50
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.