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 $117.49 Median $234.42 Typical High $524.81 | Facility | None | $117.49 | $234.42 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None | $100.00 | $117.49 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $389.05 | Facility | None | $112.20 | $173.78 | $389.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $616.60 | Professional | None | $74.13 | $234.42 | $616.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $478.63 | Facility | None | $239.88 | $338.84 | $478.63 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | None | $114.82 | $114.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $257.04 | Facility | None | $95.50 | $165.96 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $128.82 Typical High $478.63 | Professional | None | $72.44 | $128.82 | $478.63 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $5,888.44 | Facility | None | $83.18 | $204.17 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $389.05 | Professional | None | $74.13 | $123.03 | $389.05 |
Health New England Setting Facility Modifier None Typical Low $281.84 Median $549.54 Typical High $870.96 | Facility | None | $281.84 | $549.54 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $389.05 | Facility | None | $112.20 | $173.78 | $389.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $616.60 | Professional | None | $74.13 | $234.42 | $616.60 |
United Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $147.91 | Facility | None | $109.65 | $123.03 | $147.91 |
United Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $245.47 | Professional | None | $48.98 | $74.13 | $245.47 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $223.87 | Facility | None | $107.15 | $147.91 | $223.87 |
Well Sense Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $123.03 Median $158.49 Typical High $190.55 | Facility | QW · Waived lab test | $123.03 | $158.49 | $190.55 |
Where Massachusetts sits
The same service costs 4.9 times more in Texas 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· 15th of 51
$148
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.