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 $39.81 Median $112.20 Typical High $186.21 | Facility | None | $39.81 | $112.20 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $186.21 | Professional | None | $39.81 | $39.81 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $134.90 | Facility | None | $38.02 | $58.88 | $134.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.12 Median $89.13 Typical High $363.08 | Professional | None | $25.12 | $89.13 | $363.08 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $165.96 | Facility | None | $81.28 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $70.79 Typical High $162.18 | Facility | None | $33.88 | $70.79 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $45.71 Typical High $162.18 | Professional | None | $25.12 | $45.71 | $162.18 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $5,888.44 | Facility | None | $60.26 | $70.79 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | None | $60.26 | $60.26 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $131.83 | Professional | None | $25.12 | $41.69 | $131.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $134.90 | Facility | None | $38.02 | $58.88 | $134.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.12 Median $89.13 Typical High $363.08 | Professional | None | $25.12 | $89.13 | $363.08 |
United Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $50.12 | Facility | None | $37.15 | $41.69 | $50.12 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $85.11 | Professional | None | $16.60 | $25.12 | $85.11 |
Well Sense Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $75.86 | Facility | None | $37.15 | $51.29 | $75.86 |
Well Sense Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None | $43.65 | $43.65 | $52.48 |
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 $19.95 Median $19.95 Typical High $93.33 | Professional | 52 · Reduced service | $19.95 | $19.95 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $37.15 | Professional | 53 · Discontinued | $7.94 | $7.94 | $37.15 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $41.69 Median $53.70 Typical High $64.57 | Facility | QW · Waived lab test | $41.69 | $53.70 | $64.57 |
Where Massachusetts sits
The same service costs 3.3 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· 10th of 51
$58.88
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.