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 $34.67 Median $61.66 Typical High $288.40 | Facility | None | $34.67 | $61.66 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | None | $61.66 | $61.66 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $257.04 | Facility | None | $64.57 | $93.33 | $257.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $223.87 | Professional | None | $41.69 | $87.10 | $223.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $91.20 Median $173.78 Typical High $275.42 | Facility | None | $91.20 | $173.78 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | None | $83.18 | $83.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $186.21 | Facility | None | $57.54 | $107.15 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $338.84 | Professional | None | $48.98 | $107.15 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $4,897.79 | Facility | None | $83.18 | $147.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $302.00 | Professional | None | $41.69 | $87.10 | $302.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $257.04 | Facility | None | $64.57 | $93.33 | $257.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $223.87 | Professional | None | $41.69 | $87.10 | $223.87 |
United Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $104.71 | Facility | None | $79.43 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $186.21 | Professional | None | $35.48 | $52.48 | $186.21 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $154.88 | Facility | None | $67.61 | $97.72 | $154.88 |
Well Sense Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
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 $30.90 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $12.30 | $14.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $87.10 Median $114.82 Typical High $134.90 | Facility | QW · Waived lab test | $87.10 | $114.82 | $134.90 |
Where Massachusetts sits
The same service costs 4.2 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· 20th of 51
$87.10
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.