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 $123.03 Median $245.47 Typical High $549.54 | Facility | None | $123.03 | $245.47 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $537.03 | Facility | None | $128.82 | $199.53 | $537.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $870.96 | Professional | None | $104.71 | $331.13 | $870.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $128.82 Typical High $309.03 | Facility | None | $112.20 | $128.82 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $676.08 | Professional | None | $97.72 | $190.55 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $5,888.44 | Facility | None | $83.18 | $295.12 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None | $251.19 | $251.19 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $380.19 | Professional | None | $104.71 | $173.78 | $380.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $537.03 | Facility | None | $128.82 | $199.53 | $537.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $870.96 | Professional | None | $104.71 | $331.13 | $870.96 |
United Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $208.93 | Facility | None | $158.49 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $331.13 | Professional | None | $70.79 | $104.71 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $173.78 Median $229.09 Typical High $269.15 | Facility | QW · Waived lab test | $173.78 | $229.09 | $269.15 |
Where Massachusetts sits
The same service costs 8.3 times more in Texas than in Delaware. 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· 19th of 51
$178
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.