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 $69.18 Median $194.98 Typical High $323.59 | Facility | None | $69.18 | $194.98 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | None | $69.18 | $69.18 | $81.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $467.74 | Facility | None | $120.23 | $169.82 | $467.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $60.26 Median $141.25 Typical High $407.38 | Professional | None | $60.26 | $141.25 | $407.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $467.74 | Facility | None | $102.33 | $323.59 | $467.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | None | $91.20 | $91.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $275.42 | Facility | None | $79.43 | $125.89 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $194.98 Typical High $630.96 | Professional | None | $53.70 | $194.98 | $630.96 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $275.42 Typical High $4,897.79 | Facility | None | $83.18 | $275.42 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | None | $234.42 | $234.42 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $60.26 Median $162.18 Typical High $562.34 | Professional | None | $60.26 | $162.18 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $467.74 | Facility | None | $120.23 | $169.82 | $467.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $60.26 Median $141.25 Typical High $407.38 | Professional | None | $60.26 | $141.25 | $407.38 |
United Setting Facility Modifier None Typical Low $144.54 Median $162.18 Typical High $194.98 | Facility | None | $144.54 | $162.18 | $194.98 |
United Setting Professional Modifier None Typical Low $35.48 Median $97.72 Typical High $338.84 | Professional | None | $35.48 | $97.72 | $338.84 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $281.84 | Facility | None | $75.86 | $177.83 | $281.84 |
Well Sense Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | None | $75.86 | $75.86 | $91.20 |
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 $34.67 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $16.60 | Professional | 53 · Discontinued | $13.80 | $13.80 | $16.60 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $162.18 Median $208.93 Typical High $251.19 | Facility | QW · Waived lab test | $162.18 | $208.93 | $251.19 |
Where Massachusetts sits
The same service costs 7.6 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
$162
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.