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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $416.87 Typical High $512.86 | Facility | None | $165.96 | $416.87 | $512.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $91.20 Median $288.40 Typical High $758.58 | Professional | None | $91.20 | $288.40 | $758.58 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $295.12 | Facility | None | $97.72 | $181.97 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $588.84 | Professional | None | $89.13 | $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 $338.84 | Professional | None | $91.20 | $151.36 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $416.87 Typical High $512.86 | Facility | None | $165.96 | $416.87 | $512.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $91.20 Median $288.40 Typical High $758.58 | Professional | None | $91.20 | $288.40 | $758.58 |
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 $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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
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· 19th of 51
$158
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.