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 $125.89 Median $251.19 Typical High $562.34 | Facility | None | $125.89 | $251.19 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | None | $117.49 | $125.89 | $125.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $251.19 | Facility | None | $60.26 | $120.23 | $251.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $239.88 | Professional | None | $50.12 | $93.33 | $239.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.46 Median $9.12 Typical High $16.22 | Facility | None | $6.46 | $9.12 | $16.22 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $138.04 | Professional | None | $91.20 | $104.71 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $5,888.44 | Facility | None | $104.71 | $134.90 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $288.40 | Professional | None | $50.12 | $79.43 | $288.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $251.19 | Facility | None | $60.26 | $120.23 | $251.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $239.88 | Professional | None | $50.12 | $93.33 | $239.88 |
United Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $95.50 | Facility | None | $72.44 | $79.43 | $95.50 |
United Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $239.88 | Professional | None | $47.86 | $75.86 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $208.93 | Facility | None | $104.71 | $131.83 | $208.93 |
Well Sense Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None | $104.71 | $104.71 | $125.89 |
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 $58.88 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $23.44 | $25.12 | $25.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $79.43 Median $102.33 Typical High $123.03 | Facility | QW · Waived lab test | $79.43 | $102.33 | $123.03 |
Where Massachusetts sits
The same service costs 24.0 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· 14th of 51
$105
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.