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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $95.50 Typical High $218.78 | Facility | None | $52.48 | $95.50 | $218.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $181.97 | Professional | None | $41.69 | $69.18 | $181.97 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $223.87 | Facility | None | $112.20 | $158.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $89.13 Typical High $134.90 | Facility | None | $45.71 | $89.13 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $269.15 | Professional | None | $41.69 | $85.11 | $269.15 |
Fallon Health Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $5,888.44 | Facility | None | $100.00 | $117.49 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | None | $100.00 | $100.00 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.11 Median $69.18 Typical High $239.88 | Professional | None | $33.11 | $69.18 | $239.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $95.50 Typical High $218.78 | Facility | None | $52.48 | $95.50 | $218.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $181.97 | Professional | None | $41.69 | $69.18 | $181.97 |
United Setting Facility Modifier None Typical Low $63.10 Median $69.18 Typical High $83.18 | Facility | None | $63.10 | $69.18 | $83.18 |
United Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $144.54 | Professional | None | $27.54 | $41.69 | $144.54 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $120.23 | Facility | None | $61.66 | $75.86 | $120.23 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $69.18 Median $91.20 Typical High $107.15 | Facility | QW · Waived lab test | $69.18 | $91.20 | $107.15 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 9th of 51
$83.18
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.