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 $43.65 Median $123.03 Typical High $275.42 | Facility | None | $43.65 | $123.03 | $275.42 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.44 Median $74.13 Typical High $194.98 | Professional | None | $23.44 | $74.13 | $194.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $125.89 | Facility | None | $63.10 | $87.10 | $125.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | None | $38.90 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $75.86 | Facility | None | $25.70 | $47.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $151.36 | Professional | None | $23.44 | $41.69 | $151.36 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $5,888.44 | Facility | None | $56.23 | $66.07 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.44 Median $38.90 Typical High $120.23 | Professional | None | $23.44 | $38.90 | $120.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $43.65 Median $123.03 Typical High $275.42 | Facility | None | $43.65 | $123.03 | $275.42 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.44 Median $74.13 Typical High $194.98 | Professional | None | $23.44 | $74.13 | $194.98 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $46.77 | Facility | None | $35.48 | $38.90 | $46.77 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $74.13 | Professional | None | $15.85 | $23.44 | $74.13 |
Well Sense Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $70.79 | Facility | None | $34.67 | $47.86 | $70.79 |
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 $38.90 Median $51.29 Typical High $60.26 | Facility | QW · Waived lab test | $38.90 | $51.29 | $60.26 |
Where Massachusetts sits
The same service costs 6.6 times more in Kansas than in Oklahoma. 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· 9th of 51
$56.23
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.