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 $52.48 Median $104.71 Typical High $234.42 | Facility | None | $52.48 | $104.71 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $223.87 | Facility | None | $56.23 | $85.11 | $223.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $43.65 Median $141.25 Typical High $363.08 | Professional | None | $43.65 | $141.25 | $363.08 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $239.88 | Facility | None | $120.23 | $169.82 | $239.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | None | $69.18 | $69.18 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $58.88 Typical High $147.91 | Facility | None | $48.98 | $58.88 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $288.40 | Professional | None | $42.66 | $89.13 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $5,888.44 | Facility | None | $79.43 | $123.03 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $43.65 Median $74.13 Typical High $208.93 | Professional | None | $43.65 | $74.13 | $208.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $223.87 | Facility | None | $56.23 | $85.11 | $223.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $43.65 Median $141.25 Typical High $363.08 | Professional | None | $43.65 | $141.25 | $363.08 |
United Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $87.10 | Facility | None | $66.07 | $74.13 | $87.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $141.25 | Professional | None | $29.51 | $43.65 | $141.25 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $131.83 | Facility | None | $64.57 | $89.13 | $131.83 |
Well Sense Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | None | $56.23 | $56.23 | $67.61 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $74.13 Median $95.50 Typical High $114.82 | Facility | QW · Waived lab test | $74.13 | $95.50 | $114.82 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska 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· 16th of 51
$79.43
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.