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 $30.90 Median $61.66 Typical High $288.40 | Facility | None | $30.90 | $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 $48.98 Median $70.79 Typical High $208.93 | Facility | None | $48.98 | $70.79 | $208.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $162.18 | Professional | None | $38.90 | $64.57 | $162.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $275.42 | Facility | None | $91.20 | $158.49 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $83.18 | Professional | None | $61.66 | $63.10 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $93.33 Typical High $169.82 | Facility | None | $42.66 | $93.33 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $251.19 | Professional | None | $44.67 | $79.43 | $251.19 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $4,897.79 | Facility | None | $83.18 | $109.65 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $64.57 Typical High $251.19 | Professional | None | $32.36 | $64.57 | $251.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $48.98 Median $70.79 Typical High $208.93 | Facility | None | $48.98 | $70.79 | $208.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $162.18 | Professional | None | $38.90 | $64.57 | $162.18 |
United Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $77.62 | Facility | None | $58.88 | $64.57 | $77.62 |
United Setting Professional Modifier None Typical Low $25.70 Median $41.69 Typical High $138.04 | Professional | None | $25.70 | $41.69 | $138.04 |
Well Sense Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $112.20 | Facility | None | $57.54 | $70.79 | $112.20 |
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 $37.15 | Professional | 52 · Reduced service | $30.90 | $30.90 | $37.15 |
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 $64.57 Median $85.11 Typical High $100.00 | Facility | QW · Waived lab test | $64.57 | $85.11 | $100.00 |
Where Massachusetts sits
The same service costs 3.0 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
$72.44
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.