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 $47.86 Median $134.90 Typical High $223.87 | Facility | None | $47.86 | $134.90 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $162.18 | Facility | None | $38.02 | $54.95 | $162.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $19.95 Median $50.12 Typical High $125.89 | Professional | None | $19.95 | $50.12 | $125.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $213.80 | Facility | None | $70.79 | $123.03 | $213.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $64.57 | Professional | None | $47.86 | $48.98 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $72.44 Typical High $128.82 | Facility | None | $33.11 | $72.44 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $194.98 | Professional | None | $33.88 | $61.66 | $194.98 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $4,897.79 | Facility | None | $72.44 | $85.11 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.95 Median $50.12 Typical High $194.98 | Professional | None | $19.95 | $50.12 | $194.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $162.18 | Facility | None | $38.02 | $54.95 | $162.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $19.95 Median $50.12 Typical High $125.89 | Professional | None | $19.95 | $50.12 | $125.89 |
United Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $60.26 | Facility | None | $45.71 | $50.12 | $60.26 |
United Setting Professional Modifier None Typical Low $11.48 Median $30.20 Typical High $107.15 | Professional | None | $11.48 | $30.20 | $107.15 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $54.95 Typical High $87.10 | Facility | None | $44.67 | $54.95 | $87.10 |
Well Sense Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | None | $52.48 | $52.48 | $63.10 |
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 $23.99 Median $23.99 Typical High $28.84 | Professional | 52 · Reduced service | $23.99 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.48 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $50.12 Median $66.07 Typical High $77.62 | Facility | QW · Waived lab test | $50.12 | $66.07 | $77.62 |
Where Massachusetts sits
The same service costs 3.8 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· 21st of 51
$54.95
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.