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 $63.10 Median $177.83 Typical High $302.00 | Facility | None | $63.10 | $177.83 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | None | $63.10 | $63.10 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $213.80 | Facility | None | $50.12 | $74.13 | $213.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $66.07 Typical High $169.82 | Professional | None | $31.62 | $66.07 | $169.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $281.84 | Facility | None | $93.33 | $162.18 | $281.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $85.11 | Professional | None | $63.10 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $95.50 Typical High $169.82 | Facility | None | $43.65 | $95.50 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $81.28 Typical High $257.04 | Professional | None | $46.77 | $81.28 | $257.04 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $112.20 Typical High $4,897.79 | Facility | None | $83.18 | $112.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $31.62 Median $66.07 Typical High $257.04 | Professional | None | $31.62 | $66.07 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $213.80 | Facility | None | $50.12 | $74.13 | $213.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $66.07 Typical High $169.82 | Professional | None | $31.62 | $66.07 | $169.82 |
United Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $79.43 | Facility | None | $60.26 | $66.07 | $79.43 |
United Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $141.25 | Professional | None | $26.92 | $39.81 | $141.25 |
Well Sense Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $117.49 | Facility | None | $58.88 | $74.13 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
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 $31.62 Median $31.62 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $12.59 | $15.14 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $66.07 Median $87.10 Typical High $102.33 | Facility | QW · Waived lab test | $66.07 | $87.10 | $102.33 |
Where Massachusetts sits
The same service costs 3.9 times more in Kansas than in Texas. 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
$74.13
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.