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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $218.78 | Facility | None | $70.79 | $177.83 | $218.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $38.02 Median $123.03 Typical High $316.23 | Professional | None | $38.02 | $123.03 | $316.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $204.17 | Facility | None | $102.33 | $141.25 | $204.17 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $125.89 | Facility | None | $41.69 | $77.62 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $251.19 | Professional | None | $38.02 | $67.61 | $251.19 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $5,888.44 | Facility | None | $83.18 | $107.15 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None | $91.20 | $91.20 | $107.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $144.54 | Professional | None | $38.02 | $64.57 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $218.78 | Facility | None | $70.79 | $177.83 | $218.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $38.02 Median $123.03 Typical High $316.23 | Professional | None | $38.02 | $123.03 | $316.23 |
United Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $77.62 | Facility | None | $57.54 | $64.57 | $77.62 |
United Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $123.03 | Professional | None | $25.70 | $38.02 | $123.03 |
Well Sense Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $114.82 | Facility | None | $56.23 | $77.62 | $114.82 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $64.57 Median $83.18 Typical High $100.00 | Facility | QW · Waived lab test | $64.57 | $83.18 | $100.00 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 17th of 51
$69.18
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.