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 $40.74 Median $81.28 Typical High $181.97 | Facility | None | $40.74 | $81.28 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $144.54 | Facility | None | $38.90 | $60.26 | $144.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $28.18 Median $89.13 Typical High $234.42 | Professional | None | $28.18 | $89.13 | $234.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $169.82 | Facility | None | $85.11 | $117.49 | $169.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $97.72 | Facility | None | $34.67 | $63.10 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $48.98 Typical High $181.97 | Professional | None | $28.18 | $48.98 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $5,888.44 | Facility | None | $67.61 | $79.43 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $144.54 | Professional | None | $28.18 | $46.77 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $144.54 | Facility | None | $38.90 | $60.26 | $144.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $28.18 Median $89.13 Typical High $234.42 | Professional | None | $28.18 | $89.13 | $234.42 |
United Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $56.23 | Facility | None | $41.69 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $89.13 | Professional | None | $18.62 | $28.18 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $40.74 Median $56.23 Typical High $85.11 | Facility | None | $40.74 | $56.23 | $85.11 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $46.77 Median $60.26 Typical High $72.44 | Facility | QW · Waived lab test | $46.77 | $60.26 | $72.44 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 13th 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.