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 $173.78 Typical High $389.05 | Facility | None | $87.10 | $173.78 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None | $87.10 | $87.10 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $380.19 | Facility | None | $93.33 | $141.25 | $380.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $74.13 Median $239.88 Typical High $630.96 | Professional | None | $74.13 | $239.88 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $501.19 | Facility | None | $177.83 | $245.47 | $501.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $245.47 | Facility | None | $81.28 | $151.36 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $489.78 | Professional | None | $67.61 | $134.90 | $489.78 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $208.93 Typical High $5,888.44 | Facility | None | $83.18 | $208.93 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None | $177.83 | $177.83 | $208.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $316.23 | Professional | None | $74.13 | $125.89 | $316.23 |
Health New England Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Facility | None | $575.44 | $575.44 | $616.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $380.19 | Facility | None | $93.33 | $141.25 | $380.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $74.13 Median $239.88 Typical High $630.96 | Professional | None | $74.13 | $239.88 | $630.96 |
United Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $151.36 | Facility | None | $112.20 | $125.89 | $151.36 |
United Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $239.88 | Professional | None | $50.12 | $74.13 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $229.09 | Facility | None | $109.65 | $151.36 | $229.09 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $125.89 Median $162.18 Typical High $194.98 | Facility | QW · Waived lab test | $125.89 | $162.18 | $194.98 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska 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· 19th of 51
$132
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.