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 $50.12 Median $141.25 Typical High $234.42 | Facility | None | $50.12 | $141.25 | $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 $141.25 Median $169.82 Typical High $549.54 | Facility | None | $141.25 | $169.82 | $549.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $43.65 Median $165.96 Typical High $478.63 | Professional | None | $43.65 | $165.96 | $478.63 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $74.13 Median $380.19 Typical High $537.03 | Facility | None | $74.13 | $380.19 | $537.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $186.21 | Professional | None | $67.61 | $177.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $128.82 Typical High $302.00 | Facility | None | $57.54 | $128.82 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $229.09 Typical High $741.31 | Professional | None | $39.81 | $229.09 | $741.31 |
Fallon Health Setting Facility Modifier None Typical Low $75.86 Median $316.23 Typical High $4,897.79 | Facility | None | $75.86 | $316.23 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $43.65 Median $190.55 Typical High $660.69 | Professional | None | $43.65 | $190.55 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $549.54 | Facility | None | $141.25 | $169.82 | $549.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $43.65 Median $165.96 Typical High $478.63 | Professional | None | $43.65 | $165.96 | $478.63 |
United Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $229.09 | Facility | None | $169.82 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $5.25 Median $79.43 Typical High $398.11 | Professional | None | $5.25 | $79.43 | $398.11 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $208.93 Typical High $331.13 | Facility | None | $54.95 | $208.93 | $331.13 |
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 $190.55 Median $245.47 Typical High $295.12 | Facility | QW · Waived lab test | $190.55 | $245.47 | $295.12 |
Where Massachusetts sits
The same service costs 11.2 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· 17th of 51
$178
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.