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 $95.50 Median $275.42 Typical High $457.09 | Facility | None | $95.50 | $275.42 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None | $95.50 | $95.50 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $831.76 | Facility | None | $208.93 | $302.00 | $831.76 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $251.19 Typical High $724.44 | Professional | None | $85.11 | $251.19 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $144.54 Median $562.34 Typical High $812.83 | Facility | None | $144.54 | $562.34 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $281.84 | Professional | None | $128.82 | $269.15 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $199.53 Typical High $457.09 | Facility | None | $112.20 | $199.53 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $338.84 Typical High $1,096.48 | Professional | None | $69.18 | $338.84 | $1,096.48 |
Fallon Health Setting Facility Modifier None Typical Low $114.82 Median $478.63 Typical High $4,897.79 | Facility | None | $114.82 | $478.63 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $85.11 Median $281.84 Typical High $977.24 | Professional | None | $85.11 | $281.84 | $977.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $831.76 | Facility | None | $208.93 | $302.00 | $831.76 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $251.19 Typical High $724.44 | Professional | None | $85.11 | $251.19 | $724.44 |
United Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $338.84 | Facility | None | $257.04 | $281.84 | $338.84 |
United Setting Professional Modifier None Typical Low $48.98 Median $141.25 Typical High $602.56 | Professional | None | $48.98 | $141.25 | $602.56 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $316.23 Typical High $501.19 | Facility | None | $104.71 | $316.23 | $501.19 |
Well Sense Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None | $104.71 | $104.71 | $125.89 |
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 $47.86 Median $47.86 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $281.84 Median $371.54 Typical High $446.68 | Facility | QW · Waived lab test | $281.84 | $371.54 | $446.68 |
Where Massachusetts sits
The same service costs 11.2 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· 11th of 51
$282
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.