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 $38.02 Median $107.15 Typical High $177.83 | Facility | None | $38.02 | $107.15 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
AllWays Health Partners Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $229.09 | Facility | None | $57.54 | $83.18 | $229.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $199.53 | Professional | None | $31.62 | $69.18 | $199.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $56.23 Median $154.88 Typical High $223.87 | Facility | None | $56.23 | $154.88 | $223.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None | $50.12 | $50.12 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $67.61 Typical High $151.36 | Facility | None | $43.65 | $67.61 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $93.33 Typical High $309.03 | Professional | None | $30.20 | $93.33 | $309.03 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $131.83 Typical High $4,897.79 | Facility | None | $56.23 | $131.83 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None | $112.20 | $112.20 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $31.62 Median $79.43 Typical High $269.15 | Professional | None | $31.62 | $79.43 | $269.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $229.09 | Facility | None | $57.54 | $83.18 | $229.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $199.53 | Professional | None | $31.62 | $69.18 | $199.53 |
United Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $93.33 | Facility | None | $70.79 | $79.43 | $93.33 |
United Setting Professional Modifier None Typical Low $11.48 Median $46.77 Typical High $165.96 | Professional | None | $11.48 | $46.77 | $165.96 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $87.10 Typical High $138.04 | Facility | None | $41.69 | $87.10 | $138.04 |
Well Sense Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
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 $19.05 Median $19.05 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $9.12 | Professional | 53 · Discontinued | $7.59 | $7.59 | $9.12 |
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 4.9 times more in Alaska than in Kansas. 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· 16th of 51
$79.43
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.