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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $302.00 | Facility | None | $97.72 | $245.47 | $302.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $52.48 Median $169.82 Typical High $436.52 | Professional | None | $52.48 | $169.82 | $436.52 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $281.84 | Facility | None | $141.25 | $199.53 | $281.84 |
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 $56.23 Median $97.72 Typical High $173.78 | Facility | None | $56.23 | $97.72 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $346.74 | Professional | None | $52.48 | $93.33 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $5,888.44 | Facility | None | $83.18 | $147.91 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $223.87 | Professional | None | $52.48 | $89.13 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $302.00 | Facility | None | $97.72 | $245.47 | $302.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $52.48 Median $169.82 Typical High $436.52 | Professional | None | $52.48 | $169.82 | $436.52 |
United Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $104.71 | Facility | None | $79.43 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $169.82 | Professional | None | $35.48 | $52.48 | $169.82 |
Well Sense Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $158.49 | Facility | None | $77.62 | $107.15 | $158.49 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $89.13 Median $114.82 Typical High $138.04 | Facility | QW · Waived lab test | $89.13 | $114.82 | $138.04 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 17th of 51
$93.33
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.