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 $24.55 Median $70.79 Typical High $117.49 | Facility | None | $24.55 | $70.79 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $117.49 | Professional | None | $24.55 | $24.55 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $107.15 | Facility | None | $32.36 | $48.98 | $107.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $74.13 Typical High $363.08 | Professional | None | $20.89 | $74.13 | $363.08 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $85.11 Typical High $123.03 | Facility | None | $36.31 | $85.11 | $123.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $60.26 Typical High $134.90 | Facility | None | $28.18 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $38.02 Typical High $134.90 | Professional | None | $20.89 | $38.02 | $134.90 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $5,888.44 | Facility | None | $50.12 | $58.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $95.50 | Professional | None | $20.89 | $35.48 | $95.50 |
Health New England Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $269.15 | Facility | None | $251.19 | $251.19 | $269.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $107.15 | Facility | None | $32.36 | $48.98 | $107.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $74.13 Typical High $363.08 | Professional | None | $20.89 | $74.13 | $363.08 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $41.69 | Facility | None | $31.62 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $69.18 | Professional | None | $14.13 | $20.89 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Facility | None | $30.90 | $42.66 | $63.10 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
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 $12.30 Median $12.30 Typical High $58.88 | Professional | 52 · Reduced service | $12.30 | $12.30 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $23.44 | Professional | 53 · Discontinued | $5.01 | $5.01 | $23.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $35.48 Median $45.71 Typical High $54.95 | Facility | QW · Waived lab test | $35.48 | $45.71 | $54.95 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 12th of 51
$48.98
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.