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 $97.72 Median $275.42 Typical High $457.09 | Facility | None | $97.72 | $275.42 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $331.13 | Facility | None | $77.62 | $112.20 | $331.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $46.77 Median $102.33 Typical High $263.03 | Professional | None | $46.77 | $102.33 | $263.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $436.52 | Facility | None | $144.54 | $251.19 | $436.52 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $131.83 | Professional | None | $97.72 | $100.00 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $147.91 Typical High $263.03 | Facility | None | $67.61 | $147.91 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $398.11 | Professional | None | $63.10 | $125.89 | $398.11 |
Fallon Health Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $4,897.79 | Facility | None | $117.49 | $173.78 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None | $147.91 | $147.91 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $46.77 Median $102.33 Typical High $398.11 | Professional | None | $46.77 | $102.33 | $398.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $331.13 | Facility | None | $77.62 | $112.20 | $331.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $46.77 Median $102.33 Typical High $263.03 | Professional | None | $46.77 | $102.33 | $263.03 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $123.03 | Facility | None | $93.33 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $218.78 | Professional | None | $40.74 | $61.66 | $218.78 |
Well Sense Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $177.83 | Facility | None | $91.20 | $114.82 | $177.83 |
Well Sense Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None | $107.15 | $107.15 | $128.82 |
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 $48.98 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $19.50 | $23.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $102.33 Median $134.90 Typical High $158.49 | Facility | QW · Waived lab test | $102.33 | $134.90 | $158.49 |
Where Massachusetts sits
The same service costs 5.1 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· 19th of 51
$115
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.