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 $23.99 Median $54.95 Typical High $112.20 | Facility | None | $23.99 | $54.95 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $57.54 | Professional | None | $23.99 | $23.99 | $57.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $123.03 | Facility | None | $30.90 | $43.65 | $123.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $104.71 | Professional | None | $20.89 | $37.15 | $104.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $134.90 | Facility | None | $66.07 | $93.33 | $134.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $40.74 | Professional | None | $31.62 | $38.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $42.66 Typical High $89.13 | Facility | None | $26.92 | $42.66 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $50.12 Typical High $162.18 | Professional | None | $19.05 | $50.12 | $162.18 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $70.79 Typical High $4,897.79 | Facility | None | $35.48 | $70.79 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | None | $60.26 | $60.26 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $144.54 | Professional | None | $19.95 | $41.69 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $30.20 Median $53.70 Typical High $117.49 | Facility | None | $30.20 | $53.70 | $117.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $123.03 | Facility | None | $30.90 | $43.65 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $104.71 | Professional | None | $20.89 | $37.15 | $104.71 |
United Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $50.12 | Facility | None | $38.02 | $41.69 | $50.12 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $87.10 | Professional | None | $16.60 | $25.12 | $87.10 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $45.71 Typical High $72.44 | Facility | None | $26.30 | $45.71 | $72.44 |
Well Sense Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | None | $26.30 | $26.30 | $30.90 |
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 $12.02 Median $12.02 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $41.69 Median $53.70 Typical High $64.57 | Facility | QW · Waived lab test | $41.69 | $53.70 | $64.57 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska than in South Carolina. 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· 21st of 51
$41.69
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.