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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $562.34 | Facility | None | $112.20 | $323.59 | $562.34 |
AllWays Health Partners Setting Professional Modifier None Typical Low $61.66 Median $194.98 Typical High $512.86 | Professional | None | $61.66 | $194.98 | $512.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $323.59 | Facility | None | $162.18 | $229.09 | $323.59 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $165.96 Typical High $213.80 | Facility | None | $66.07 | $165.96 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $398.11 | Professional | None | $61.66 | $107.15 | $398.11 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $173.78 Typical High $5,888.44 | Facility | None | $83.18 | $173.78 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None | $147.91 | $147.91 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $229.09 | Professional | None | $61.66 | $102.33 | $229.09 |
Health New England Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $562.34 | Facility | None | $112.20 | $323.59 | $562.34 |
Mass General Brigham Setting Professional Modifier None Typical Low $61.66 Median $194.98 Typical High $512.86 | Professional | None | $61.66 | $194.98 | $512.86 |
United Setting Facility Modifier None Typical Low $91.20 Median $102.33 Typical High $123.03 | Facility | None | $91.20 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $194.98 | Professional | None | $40.74 | $61.66 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $186.21 | Facility | None | $91.20 | $125.89 | $186.21 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $102.33 Median $131.83 Typical High $158.49 | Facility | QW · Waived lab test | $102.33 | $131.83 | $158.49 |
Where Massachusetts sits
The same service costs 3.7 times more in Kansas than in Alabama. 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· 12th of 51
$129
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.