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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $63.10 Median $154.88 Typical High $194.98 | Facility | None | $63.10 | $154.88 | $194.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.88 Median $109.65 Typical High $288.40 | Professional | None | $33.88 | $109.65 | $288.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $181.97 | Facility | None | $91.20 | $128.82 | $181.97 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $91.20 Typical High $120.23 | Facility | None | $37.15 | $91.20 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $223.87 | Professional | None | $33.88 | $60.26 | $223.87 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $5,888.44 | Facility | None | $81.28 | $95.50 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None | $81.28 | $81.28 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.88 Median $57.54 Typical High $128.82 | Professional | None | $33.88 | $57.54 | $128.82 |
Health New England Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $478.63 | Facility | None | $91.20 | $91.20 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $63.10 Median $154.88 Typical High $194.98 | Facility | None | $63.10 | $154.88 | $194.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.88 Median $109.65 Typical High $288.40 | Professional | None | $33.88 | $109.65 | $288.40 |
United Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $69.18 | Facility | None | $51.29 | $57.54 | $69.18 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $109.65 | Professional | None | $22.91 | $33.88 | $109.65 |
Well Sense Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $102.33 | Facility | None | $50.12 | $69.18 | $102.33 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $57.54 Median $74.13 Typical High $89.13 | Facility | QW · Waived lab test | $57.54 | $74.13 | $89.13 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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
$81.28
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.