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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $177.83 | Facility | None | $40.74 | $114.82 | $177.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $21.88 Median $69.18 Typical High $181.97 | Professional | None | $21.88 | $69.18 | $181.97 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $58.88 Median $83.18 Typical High $117.49 | Facility | None | $58.88 | $83.18 | $117.49 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $46.77 | Professional | None | $35.48 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $44.67 Typical High $70.79 | Facility | None | $23.99 | $44.67 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $38.90 Typical High $141.25 | Professional | None | $21.88 | $38.90 | $141.25 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $5,888.44 | Facility | None | $52.48 | $61.66 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None | $52.48 | $52.48 | $61.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $117.49 | Professional | None | $21.88 | $36.31 | $117.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $177.83 | Facility | None | $40.74 | $114.82 | $177.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $21.88 Median $69.18 Typical High $181.97 | Professional | None | $21.88 | $69.18 | $181.97 |
United Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $43.65 | Facility | None | $33.11 | $36.31 | $43.65 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.88 Typical High $69.18 | Professional | None | $14.79 | $21.88 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $32.36 Median $44.67 Typical High $66.07 | Facility | None | $32.36 | $44.67 | $66.07 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $36.31 Median $47.86 Typical High $56.23 | Facility | QW · Waived lab test | $36.31 | $47.86 | $56.23 |
Where Massachusetts sits
The same service costs 3.5 times more in California than in Nebraska. 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
$52.48
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.