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 $190.55 Typical High $426.58 | Facility | None | $95.50 | $190.55 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $416.87 | Facility | None | $102.33 | $158.49 | $416.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $81.28 Median $263.03 Typical High $691.83 | Professional | None | $81.28 | $263.03 | $691.83 |
BCBS Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $338.84 | Facility | None | $138.04 | $169.82 | $338.84 |
BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | None | $128.82 | $128.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $239.88 | Facility | None | $91.20 | $107.15 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $537.03 | Professional | None | $74.13 | $147.91 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $229.09 Typical High $5,888.44 | Facility | None | $83.18 | $229.09 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None | $194.98 | $194.98 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $309.03 | Professional | None | $81.28 | $138.04 | $309.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $416.87 | Facility | None | $102.33 | $158.49 | $416.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $81.28 Median $263.03 Typical High $691.83 | Professional | None | $81.28 | $263.03 | $691.83 |
United Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $165.96 | Facility | None | $123.03 | $138.04 | $165.96 |
United Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $263.03 | Professional | None | $54.95 | $81.28 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $251.19 | Facility | None | $120.23 | $165.96 | $251.19 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $47.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $138.04 Median $177.83 Typical High $213.80 | Facility | QW · Waived lab test | $138.04 | $177.83 | $213.80 |
Where Massachusetts sits
The same service costs 5.5 times more in Texas 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· 20th of 51
$141
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.