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 $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
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 $52.48 Median $147.91 Typical High $245.47 | Facility | None | $52.48 | $147.91 | $245.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $28.18 Median $89.13 Typical High $234.42 | Professional | None | $28.18 | $89.13 | $234.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $151.36 | Facility | None | $75.86 | $104.71 | $151.36 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $57.54 Typical High $91.20 | Facility | None | $30.90 | $57.54 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $181.97 | Professional | None | $28.18 | $50.12 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $5,888.44 | Facility | None | $67.61 | $79.43 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $158.49 | Professional | None | $28.18 | $46.77 | $158.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $147.91 Typical High $245.47 | Facility | None | $52.48 | $147.91 | $245.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $28.18 Median $89.13 Typical High $234.42 | Professional | None | $28.18 | $89.13 | $234.42 |
United Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $56.23 | Facility | None | $42.66 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $89.13 | Professional | None | $19.05 | $28.18 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $85.11 | Facility | None | $41.69 | $57.54 | $85.11 |
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 $46.77 Median $61.66 Typical High $72.44 | Facility | QW · Waived lab test | $46.77 | $61.66 | $72.44 |
Where Massachusetts sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 9th of 51
$67.61
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.