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 $104.71 Median $213.80 Typical High $467.74 | Facility | None | $104.71 | $213.80 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $371.54 | Facility | None | $112.20 | $173.78 | $371.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $616.60 | Professional | None | $74.13 | $234.42 | $616.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $537.03 | Facility | None | $177.83 | $302.00 | $537.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Professional | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $257.04 | Facility | None | $95.50 | $117.49 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $478.63 | Professional | None | $72.44 | $134.90 | $478.63 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $5,888.44 | Facility | None | $83.18 | $204.17 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $389.05 | Professional | None | $74.13 | $123.03 | $389.05 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $371.54 | Facility | None | $112.20 | $173.78 | $371.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $616.60 | Professional | None | $74.13 | $234.42 | $616.60 |
United Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $147.91 | Facility | None | $109.65 | $123.03 | $147.91 |
United Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $234.42 | Professional | None | $48.98 | $74.13 | $234.42 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $223.87 | Facility | None | $107.15 | $147.91 | $223.87 |
Well Sense Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $123.03 Median $158.49 Typical High $190.55 | Facility | QW · Waived lab test | $123.03 | $158.49 | $190.55 |
Where Massachusetts sits
The same service costs 4.4 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· 14th of 51
$148
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.