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 $46.77 Median $93.33 Typical High $208.93 | Facility | None | $46.77 | $93.33 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | None | $46.77 | $46.77 | $53.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $199.53 | Facility | None | $48.98 | $74.13 | $199.53 |
AllWays Health Partners Setting Professional Modifier None Typical Low $39.81 Median $125.89 Typical High $331.13 | Professional | None | $39.81 | $125.89 | $331.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $208.93 | Facility | None | $104.71 | $147.91 | $208.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $128.82 | Facility | None | $42.66 | $79.43 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $257.04 | Professional | None | $38.90 | $69.18 | $257.04 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $5,888.44 | Facility | None | $83.18 | $109.65 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $169.82 | Professional | None | $39.81 | $66.07 | $169.82 |
Health New England Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $154.88 | Facility | None | $66.07 | $109.65 | $154.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $199.53 | Facility | None | $48.98 | $74.13 | $199.53 |
Mass General Brigham Setting Professional Modifier None Typical Low $39.81 Median $125.89 Typical High $331.13 | Professional | None | $39.81 | $125.89 | $331.13 |
United Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $79.43 | Facility | None | $58.88 | $66.07 | $79.43 |
United Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $125.89 | Professional | None | $26.30 | $39.81 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $120.23 | Facility | None | $57.54 | $79.43 | $120.23 |
Well Sense Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None | $51.29 | $51.29 | $60.26 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $66.07 Median $85.11 Typical High $102.33 | Facility | QW · Waived lab test | $66.07 | $85.11 | $102.33 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$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.