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 $141.25 Median $398.11 Typical High $660.69 | Facility | None | $141.25 | $398.11 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None | $141.25 | $141.25 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $467.74 | Facility | None | $112.20 | $162.18 | $467.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $58.88 Median $147.91 Typical High $371.54 | Professional | None | $58.88 | $147.91 | $371.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $660.69 | Facility | None | $218.78 | $363.08 | $660.69 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $190.55 | Professional | None | $138.04 | $144.54 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $208.93 Typical High $380.19 | Facility | None | $97.72 | $208.93 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $575.44 | Professional | None | $91.20 | $181.97 | $575.44 |
Fallon Health Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $4,897.79 | Facility | None | $169.82 | $251.19 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None | $213.80 | $213.80 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $58.88 Median $147.91 Typical High $575.44 | Professional | None | $58.88 | $147.91 | $575.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $467.74 | Facility | None | $112.20 | $162.18 | $467.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $58.88 Median $147.91 Typical High $371.54 | Professional | None | $58.88 | $147.91 | $371.54 |
United Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $177.83 | Facility | None | $134.90 | $147.91 | $177.83 |
United Setting Professional Modifier None Typical Low $29.51 Median $89.13 Typical High $316.23 | Professional | None | $29.51 | $89.13 | $316.23 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $257.04 | Facility | None | $131.83 | $162.18 | $257.04 |
Well Sense Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
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 $70.79 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $28.18 | $33.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $147.91 Median $194.98 Typical High $229.09 | Facility | QW · Waived lab test | $147.91 | $194.98 | $229.09 |
Where Massachusetts sits
The same service costs 5.8 times more in Kansas 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· 20th 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.