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 Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $58.88 | Professional | None | $41.69 | $58.88 | $58.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $56.23 Median $158.49 Typical High $229.09 | Facility | None | $56.23 | $158.49 | $229.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $30.90 Median $97.72 Typical High $263.03 | Professional | None | $30.90 | $97.72 | $263.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $162.18 | Facility | None | $81.28 | $114.82 | $162.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $107.15 | Facility | None | $33.11 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $53.70 Typical High $199.53 | Professional | None | $30.90 | $53.70 | $199.53 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $87.10 Typical High $5,888.44 | Facility | None | $72.44 | $87.10 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None | $72.44 | $72.44 | $87.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $114.82 | Professional | None | $30.90 | $51.29 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $56.23 Median $158.49 Typical High $229.09 | Facility | None | $56.23 | $158.49 | $229.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $30.90 Median $97.72 Typical High $263.03 | Professional | None | $30.90 | $97.72 | $263.03 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $61.66 | Facility | None | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $97.72 | Professional | None | $20.42 | $30.90 | $97.72 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $61.66 Typical High $93.33 | Facility | None | $44.67 | $61.66 | $93.33 |
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 |
4 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 Facility Modifier 52 · Reduced service Typical Low $29.51 Median $58.88 Typical High $131.83 | Facility | 52 · Reduced service | $29.51 | $58.88 | $131.83 |
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 $51.29 Median $66.07 Typical High $79.43 | Facility | QW · Waived lab test | $51.29 | $66.07 | $79.43 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 10th of 51
$63.10
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.