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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.90 Median $109.65 Typical High $123.03 | Facility | None | $38.90 | $109.65 | $123.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $66.07 Typical High $173.78 | Professional | None | $20.89 | $66.07 | $173.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $22.91 Median $69.18 Typical High $100.00 | Facility | None | $22.91 | $69.18 | $100.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $34.67 | Professional | None | $21.88 | $21.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $56.23 Typical High $93.33 | Facility | None | $22.91 | $56.23 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $134.90 | Professional | None | $20.89 | $37.15 | $134.90 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $5,888.44 | Facility | None | $50.12 | $58.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $77.62 | Professional | None | $20.89 | $34.67 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.90 Median $109.65 Typical High $123.03 | Facility | None | $38.90 | $109.65 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $66.07 Typical High $173.78 | Professional | None | $20.89 | $66.07 | $173.78 |
United Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $41.69 | Facility | None | $31.62 | $34.67 | $41.69 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $66.07 | Professional | None | $14.13 | $20.89 | $66.07 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Facility | None | $30.90 | $42.66 | $63.10 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $34.67 Median $45.71 Typical High $53.70 | Facility | QW · Waived lab test | $34.67 | $45.71 | $53.70 |
Where Massachusetts sits
The same service costs 3.8 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· 18th of 51
$37.15
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.