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 $104.71 Median $208.93 Typical High $467.74 | Facility | None | $104.71 | $208.93 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $457.09 | Facility | None | $112.20 | $169.82 | $457.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $91.20 Median $288.40 Typical High $741.31 | Professional | None | $91.20 | $288.40 | $741.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $371.54 | Facility | None | $151.36 | $186.21 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $263.03 | Facility | None | $95.50 | $109.65 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $158.49 Typical High $588.84 | Professional | None | $85.11 | $158.49 | $588.84 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $251.19 Typical High $5,888.44 | Facility | None | $83.18 | $251.19 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None | $213.80 | $213.80 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $288.40 | Professional | None | $91.20 | $151.36 | $288.40 |
Health New England Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $190.55 | Facility | None | $158.49 | $173.78 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $457.09 | Facility | None | $112.20 | $169.82 | $457.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $91.20 Median $288.40 Typical High $741.31 | Professional | None | $91.20 | $288.40 | $741.31 |
United Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $181.97 | Facility | None | $134.90 | $151.36 | $181.97 |
United Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $288.40 | Professional | None | $60.26 | $91.20 | $288.40 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $275.42 | Facility | None | $131.83 | $181.97 | $275.42 |
Well Sense Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $151.36 Median $194.98 Typical High $234.42 | Facility | QW · Waived lab test | $151.36 | $194.98 | $234.42 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska 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· 27th of 51
$151
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.