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 $66.07 Median $131.83 Typical High $295.12 | Facility | None | $66.07 | $131.83 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None | $66.07 | $66.07 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $245.47 | Facility | None | $61.66 | $85.11 | $245.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $48.98 Median $81.28 Typical High $213.80 | Professional | None | $48.98 | $81.28 | $213.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $95.50 Median $169.82 Typical High $288.40 | Facility | None | $95.50 | $169.82 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | None | $77.62 | $79.43 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $177.83 | Facility | None | $53.70 | $107.15 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $316.23 | Professional | None | $48.98 | $100.00 | $316.23 |
Fallon Health Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $5,888.44 | Facility | None | $104.71 | $138.04 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None | $117.49 | $117.49 | $138.04 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $281.84 | Professional | None | $40.74 | $81.28 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $245.47 | Facility | None | $61.66 | $85.11 | $245.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $48.98 Median $81.28 Typical High $213.80 | Professional | None | $48.98 | $81.28 | $213.80 |
United Setting Facility Modifier None Typical Low $74.13 Median $81.28 Typical High $97.72 | Facility | None | $74.13 | $81.28 | $97.72 |
United Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $173.78 | Professional | None | $33.11 | $56.23 | $173.78 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $141.25 | Facility | None | $72.44 | $91.20 | $141.25 |
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 $32.36 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.13 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $81.28 Median $107.15 Typical High $125.89 | Facility | QW · Waived lab test | $81.28 | $107.15 | $125.89 |
Where Massachusetts sits
The same service costs 4.9 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· 16th of 51
$85.11
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.