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 $58.88 Median $117.49 Typical High $263.03 | Facility | None | $58.88 | $117.49 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $630.96 | Facility | None | $194.98 | $263.03 | $630.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $81.28 Median $363.08 Typical High $954.99 | Professional | None | $81.28 | $363.08 | $954.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $389.05 | Facility | None | $190.55 | $269.15 | $389.05 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $338.84 | Facility | None | $54.95 | $114.82 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $741.31 | Professional | None | $102.33 | $173.78 | $741.31 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $323.59 Typical High $5,888.44 | Facility | None | $83.18 | $323.59 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $77.62 Median $190.55 Typical High $457.09 | Professional | None | $77.62 | $190.55 | $457.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $630.96 | Facility | None | $194.98 | $263.03 | $630.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $81.28 Median $363.08 Typical High $954.99 | Professional | None | $81.28 | $363.08 | $954.99 |
United Setting Facility Modifier None Typical Low $173.78 Median $190.55 Typical High $229.09 | Facility | None | $173.78 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $50.12 Median $114.82 Typical High $363.08 | Professional | None | $50.12 | $114.82 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $346.74 | Facility | None | $169.82 | $234.42 | $346.74 |
Well Sense Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None | $63.10 | $63.10 | $74.13 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $190.55 Median $251.19 Typical High $295.12 | Facility | QW · Waived lab test | $190.55 | $251.19 | $295.12 |
Where Massachusetts sits
The same service costs 5.4 times more in Texas than in Ohio. 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
$191
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.