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 $38.90 Median $50.12 Typical High $234.42 | Facility | None | $38.90 | $50.12 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | None | $50.12 | $50.12 | $60.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $208.93 | Facility | None | $52.48 | $74.13 | $208.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $177.83 | Professional | None | $41.69 | $70.79 | $177.83 |
BCBS Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $223.87 | Facility | None | $74.13 | $141.25 | $223.87 |
BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $151.36 | Facility | None | $46.77 | $87.10 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $275.42 | Professional | None | $39.81 | $87.10 | $275.42 |
Fallon Health Setting Facility Modifier None Typical Low $75.86 Median $120.23 Typical High $4,897.79 | Facility | None | $75.86 | $120.23 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $245.47 | Professional | None | $35.48 | $70.79 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $208.93 | Facility | None | $52.48 | $74.13 | $208.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $177.83 | Professional | None | $41.69 | $70.79 | $177.83 |
United Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $85.11 | Facility | None | $64.57 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $147.91 | Professional | None | $28.18 | $42.66 | $147.91 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $123.03 | Facility | None | $54.95 | $79.43 | $123.03 |
Well Sense Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
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 $25.12 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $10.00 | $10.00 | $12.02 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $70.79 Median $93.33 Typical High $109.65 | Facility | QW · Waived lab test | $70.79 | $93.33 | $109.65 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 18th 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.