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 $75.86 Median $151.36 Typical High $338.84 | Facility | None | $75.86 | $151.36 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $288.40 | Facility | None | $72.44 | $100.00 | $288.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $245.47 | Professional | None | $57.54 | $95.50 | $245.47 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $331.13 | Facility | None | $109.65 | $199.53 | $331.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $102.33 | Professional | None | $89.13 | $93.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $208.93 | Facility | None | $63.10 | $123.03 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $371.54 | Professional | None | $57.54 | $117.49 | $371.54 |
Fallon Health Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $5,888.44 | Facility | None | $114.82 | $162.18 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | None | $138.04 | $138.04 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $47.86 Median $95.50 Typical High $331.13 | Professional | None | $47.86 | $95.50 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $288.40 | Facility | None | $72.44 | $100.00 | $288.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $245.47 | Professional | None | $57.54 | $95.50 | $245.47 |
United Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $114.82 | Facility | None | $85.11 | $95.50 | $114.82 |
United Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $199.53 | Professional | None | $38.02 | $66.07 | $199.53 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $104.71 Typical High $165.96 | Facility | None | $85.11 | $104.71 | $165.96 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $38.02 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $15.14 | $16.60 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $95.50 Median $123.03 Typical High $147.91 | Facility | QW · Waived lab test | $95.50 | $123.03 | $147.91 |
Where Massachusetts sits
The same service costs 5.4 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· 19th of 51
$100
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.