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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $104.71 Median $263.03 Typical High $331.13 | Facility | None | $104.71 | $263.03 | $331.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $57.54 Median $181.97 Typical High $478.63 | Professional | None | $57.54 | $181.97 | $478.63 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $302.00 | Facility | None | $151.36 | $213.80 | $302.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | None | $70.79 | $70.79 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $79.43 Typical High $186.21 | Facility | None | $46.77 | $79.43 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $371.54 | Professional | None | $57.54 | $100.00 | $371.54 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $5,888.44 | Facility | None | $83.18 | $158.49 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None | $134.90 | $134.90 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $213.80 | Professional | None | $57.54 | $95.50 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $104.71 Median $263.03 Typical High $331.13 | Facility | None | $104.71 | $263.03 | $331.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $57.54 Median $181.97 Typical High $478.63 | Professional | None | $57.54 | $181.97 | $478.63 |
United Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $114.82 | Facility | None | $85.11 | $95.50 | $114.82 |
United Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $181.97 | Professional | None | $38.02 | $57.54 | $181.97 |
Well Sense Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $173.78 | Facility | None | $83.18 | $114.82 | $173.78 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $95.50 Median $123.03 Typical High $147.91 | Facility | QW · Waived lab test | $95.50 | $123.03 | $147.91 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 6th of 51
$135
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.