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 $41.69 Median $83.18 Typical High $186.21 | Facility | None | $41.69 | $83.18 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $47.86 Median $74.13 Typical High $199.53 | Facility | None | $47.86 | $74.13 | $199.53 |
AllWays Health Partners Setting Professional Modifier None Typical Low $35.48 Median $125.89 Typical High $323.59 | Professional | None | $35.48 | $125.89 | $323.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $208.93 | Facility | None | $104.71 | $144.54 | $208.93 |
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 $42.66 Median $79.43 Typical High $128.82 | Facility | None | $42.66 | $79.43 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $257.04 | Professional | None | $38.90 | $69.18 | $257.04 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $5,888.44 | Facility | None | $83.18 | $109.65 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $35.48 Median $66.07 Typical High $162.18 | Professional | None | $35.48 | $66.07 | $162.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $47.86 Median $74.13 Typical High $199.53 | Facility | None | $47.86 | $74.13 | $199.53 |
Mass General Brigham Setting Professional Modifier None Typical Low $35.48 Median $125.89 Typical High $323.59 | Professional | None | $35.48 | $125.89 | $323.59 |
United Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $77.62 | Facility | None | $58.88 | $66.07 | $77.62 |
United Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $125.89 | Professional | None | $26.30 | $38.90 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $117.49 | Facility | None | $57.54 | $79.43 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | None | $44.67 | $44.67 | $53.70 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $66.07 Median $85.11 Typical High $102.33 | Facility | QW · Waived lab test | $66.07 | $85.11 | $102.33 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 26th of 51
$66.07
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.