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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $257.04 | Facility | None | $61.66 | $95.50 | $257.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $50.12 Median $154.88 Typical High $416.87 | Professional | None | $50.12 | $154.88 | $416.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $295.12 | Facility | None | $97.72 | $165.96 | $295.12 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $102.33 Typical High $162.18 | Facility | None | $53.70 | $102.33 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $323.59 | Professional | None | $50.12 | $87.10 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $5,888.44 | Facility | None | $83.18 | $138.04 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None | $117.49 | $117.49 | $138.04 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $239.88 | Professional | None | $50.12 | $83.18 | $239.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $257.04 | Facility | None | $61.66 | $95.50 | $257.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $50.12 Median $154.88 Typical High $416.87 | Professional | None | $50.12 | $154.88 | $416.87 |
United Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $100.00 | Facility | None | $74.13 | $83.18 | $100.00 |
United Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $158.49 | Professional | None | $33.11 | $50.12 | $158.49 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $151.36 | Facility | None | $72.44 | $102.33 | $151.36 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $83.18 Median $107.15 Typical High $128.82 | Facility | QW · Waived lab test | $83.18 | $107.15 | $128.82 |
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· 8th of 51
$107
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.