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 $74.13 Median $213.80 Typical High $354.81 | Facility | None | $74.13 | $213.80 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $380.19 | Facility | None | $95.50 | $134.90 | $380.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $323.59 | Professional | None | $51.29 | $114.82 | $323.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $257.04 Typical High $371.54 | Facility | None | $109.65 | $257.04 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None | $100.00 | $100.00 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $275.42 | Facility | None | $85.11 | $131.83 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $154.88 Typical High $501.19 | Professional | None | $56.23 | $154.88 | $501.19 |
Fallon Health Setting Facility Modifier None Typical Low $89.13 Median $218.78 Typical High $4,897.79 | Facility | None | $89.13 | $218.78 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $51.29 Median $128.82 Typical High $446.68 | Professional | None | $51.29 | $128.82 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $380.19 | Facility | None | $95.50 | $134.90 | $380.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $323.59 | Professional | None | $51.29 | $114.82 | $323.59 |
United Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $154.88 | Facility | None | $117.49 | $128.82 | $154.88 |
United Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $269.15 | Professional | None | $37.15 | $77.62 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $141.25 Typical High $223.87 | Facility | None | $81.28 | $141.25 | $223.87 |
Well Sense Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | None | $81.28 | $81.28 | $97.72 |
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 $37.15 Median $37.15 Typical High $44.67 | Professional | 52 · Reduced service | $37.15 | $37.15 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | 53 · Discontinued | $14.79 | $14.79 | $17.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $128.82 Median $169.82 Typical High $199.53 | Facility | QW · Waived lab test | $128.82 | $169.82 | $199.53 |
Where Massachusetts sits
The same service costs 6.0 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· 16th of 51
$129
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.