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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $389.05 | Facility | None | $131.83 | $186.21 | $389.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $72.44 Median $229.09 Typical High $602.56 | Professional | None | $72.44 | $229.09 | $602.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $380.19 | Facility | None | $190.55 | $269.15 | $380.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $234.42 | Facility | None | $77.62 | $131.83 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $125.89 Typical High $467.74 | Professional | None | $72.44 | $125.89 | $467.74 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $5,888.44 | Facility | None | $83.18 | $204.17 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None | $169.82 | $169.82 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $269.15 | Professional | None | $72.44 | $120.23 | $269.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $389.05 | Facility | None | $131.83 | $186.21 | $389.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $72.44 Median $229.09 Typical High $602.56 | Professional | None | $72.44 | $229.09 | $602.56 |
United Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $144.54 | Facility | None | $107.15 | $120.23 | $144.54 |
United Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $229.09 | Professional | None | $47.86 | $72.44 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $218.78 | Facility | None | $104.71 | $147.91 | $218.78 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $120.23 Median $154.88 Typical High $186.21 | Facility | QW · Waived lab test | $120.23 | $154.88 | $186.21 |
Where Massachusetts sits
The same service costs 5.9 times more in Texas 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· 16th of 51
$126
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.